IMPORTANT - THIS FORUM HAS BEEN REPLACED

We will announce the URL of the new forum here and on the woundsannounce mailing list once it is available. Please be assured that it will have much better paging capabilities than this system, so you won't be left having to wait for a 3/4 Mb file to download!

The 1999-2000 archive is also still available.

Thanks for your support, and hope to see you on the new system.
Pete Phillips

Wound Management Forum

To reduce the clutter and time taken to load this page, old messages are archived in http://www.smtl.co.uk/cgi-bin/HyperNews/get.cgi/wounds-archive.html

Messages

Welcome to the SMTL Wound Management Forum Date: 1999, Sep 20 From: Pete Phillips

Feedback from users of the SMTL web site has overwhelmed our ability to enter into email exchanges with users who ask questions about woundcare. Although we wish to provide free information on our web site, it is not possible for us to provide free consultancy on an individual basis. This discussion forum has therefore been created to allow the discussion of wound management related matters. Please use this forum instead of emailing questions to the webmaster or the editor(s). Email sent to us which would be more appropriately addressed to this forum will be ignored. Don't forget - you can get help on using the HyperNews forum at: http://www.hypernews.org/HyperNews/get/hypernews/instructions.html Enjoy. Pete Phillips, 20th Sept, 1999. Deputy Director of the Surgical Materials Testing Lab

Hospital-based wound clinic Re: Welcome to the SMTL Wound Management Forum - (Pete Phillips) Date: 2002, Jan 16 From: Janet M. Davis

Does anyone know of current literature or a book that discusses setting up outpatient clinics, specifically, hospital-based ones? So far, the internet has not been as helpful as I had hoped.

Untitled Re: Hospital-based wound clinic - (Janet M. Davis) Date: 2002, Aug 16 From: <tvn at microsoft.com>

How did you get on with your wound clinic, I am in the process of setting one up and have managed to gleam on publication on the subject and would be happy to assist?!

Untitled Re: Hospital-based wound clinic - (Janet M. Davis) Date: 2002, Oct 04 From: Maggie Bruneau

Untitled Re: Hospital-based wound clinic - (Janet M. Davis) Date: 2002, Oct 04 From: Maggie Bruneau

Developing a wound care inpatient beds for complex elder care. Re: Hospital-based wound clinic - (Janet M. Davis) Date: 2002, Oct 04 From: Maggie Bruneau

I am looking for information on developing a few inpatient beds on a complex continuing care unit for elderly folk with Stage 3 or 4 wounds who cannot be managed in the community or in a LTC environment, but who would return there.

Doppler query Re: Welcome to the SMTL Wound Management Forum - (Pete Phillips) Date: 2002, May 08 From: Jill

When performing a doppler on a large lady, a larger cuff was used for the brachial reading, but as the patient found the large cuff uncomfortable for the pedal readings a smaller one was used. Should the same cuff size be used for each (even if using teh smaller cuff size will give artificially high reading)?

mattress replacement Re: Welcome to the SMTL Wound Management Forum - (Pete Phillips) Date: 2002, Jul 23 From: Anna

Does anyone have a mattres replacement therapy policy?

How to prevent maceration of the skin? Re: Welcome to the SMTL Wound Management Forum - (Pete Phillips) Date: 2002, Aug 30 From: <puppydogstails at hotmail.com>

I am nusring a pt. with 2 ulcers 1 on ball of the foot the other on bottom of the heel. Both are odours, green sloughy and very painful. Duplex scans have ruled out arteial involment but I'm not convinced. The surrounding skin is macerated and coming away in substantial layers. Yet the wound has minimal exudate. How do I manage the maceration?!

response to maceration Re: How to prevent maceration of the skin? - Date: 2002, Oct 25 From: <Ian at Manselltvn.com>

maceration is due to poorly managed exudate by infrequent dressing changes or inappropriate choice of dressing.The primary dressing needs to absorb and lock exudate within the dressing preventing lateral wicking which would eventually return to the skin, and undermine the skins integrity by removing sebum and removing keratonocytes.If the wound is highly exuding a gel(even if it's sloughy) would exacerbate the condition. Simarly a foam, can only retain so much exudate, particularly if the patient is ambulant, and the pressure from walking will force the fluid out of the dressing. A major problem could be the levels of pathogens within the exudate, particularly beta-haemolyitc strep or Pseudomonas Auriginosa. The toxins from the pathogens will further erode the macerated skin causing excoriation. So consider your primary dressing and frequencey of changing. Is the wound infected? would a topical antibacterial product be of use? thats all for now Ian

how to prevent maceration Re: How to prevent maceration of the skin? - Date: 2002, Oct 30 From: clare

In my area we use Cavilon or Sprilon spray around the wound to prevent maceration. Cavilon comes in the form of a barrier cream or spray and Sprilon a spray. They both dry around the outside of the wound, be sure to cover the wound when you spray as it may get into the wound!! Hope this helps, Clare.

some help Re: how to prevent maceration - Date: 2003, Jan 31 From: <philipw at mindspring.com>

keep in mind diabetics affected with foot pressure ulcers that are not healing are 99% of the time infected think staph and pseudemones 1. keep your patient off wieght bearing 2. wounds opened for extended periods of time should be evaluated for osteomyelitis 3.daily dry dressing changes wet wounds =mascerations 4.daily soaks in 1:1 water:plain white vinegear ten minutes although you might find this peculuar my surgical experiance and training from a surgeon in columbia university (NYC) this will cleans the wound from the above mentioned pathogens 5.gentian violet solution on the wounds and its edges works great against mascerations

How can I treat my ulcer? Re: Welcome to the SMTL Wound Management Forum - (Pete Phillips) Date: 2003, Mar 26 From: <ag-ed at another.com>

I am a 29 year old nurse and I have an ulcer!It started as a blister on my lower outer calf 3 months ago.I did not bang it or get bitten as far as I know.Once the blister popped, the wound was left with a sloughy edge and a necrotic centre.I have seen 2 Dermatologists and a Medical consultant.I was initially recommened granugel and Allevyn.The wound was slighly infected so I needed to wait for compression.(Dopler indicated venous). I ended up having a mild allergic reaction to almost every dressing I tried(intrasite,granugel,allevyn,granuflex,mefix,opsite). I have now been in compression for 6 weeks.I have had Iodaflex covering the ulcer which has made a big differnce.I have just changed to using Intrasite comformable under the compression yet the surrounding skin is now maccerated.The ulcer itself is low exudate with a tiny amount of slough in the centre yet the area surrounding the slough is a little blue/grey.The macceration is the most painful bit!! The Dermatologist has suggested I may have Pyoderma.I am usually fit and well with no Medical problems.The only thing I may have is Raynauds. Could anyone offer me any advice?!

bioptron light Re: How can I treat my ulcer? - Date: 2003, May 05 From: sarni

Hi there, I'd recommend going under the bioptron light every day for 2 weeks. I've seen miracles with leg ulcers with this treatment.

what??? Re: bioptron light - (sarni) Date: 2003, Oct 29 From: Lynda Fowlie

what theheck is that and where do I get it? LOL

bioptron Re: bioptron light - (sarni) Date: 2004, Feb 17 From: <mignonette at webmail.co.za>

I am looking for feedback on the bioptron device. Does it really work?

Honey for infected wounds Re: How can I treat my ulcer? - Date: Aug 04, 04:01 From: Judie Todd

I am the clinical educator working with a medical honey called Medihoney in Australia. I have had great success using Medihoney on recalcitrant ulcers particularly those that are infected or have become chronic. You require a sterile approved honey for wounds, this is placed on the ulcer once a day if exudating or every 2-3 days if not. Use a non-adherent fione weave gauze impregnated to keep the honey at the wound site then add a secondary dressing such as meesorb. Happy to help if you need further advice.

Need advice Re: Welcome to the SMTL Wound Management Forum - (Pete Phillips) Date: 2003, Oct 29 From: Lynda Fowlie

I have suffered with a huge leg ulcer for about 15 years, it started with thrombophlebitis, and blew out 3 valves so they leak all the time.. I have spent 1/3 of my time in an UNA boot and most of the time in a compression sock,and those things help a lot, but the thing I can't get past is the itching, right ater I take the sock off, and the same day that the leg looks like it is gettin better..LOl it will start to itch and almost drive me crazy, then of course I scratch it and it starts all over again, my doctor has never recommended anything to put on my leg except an UNA boot, the only thing that actualy stops the itching is a pail of 118 dere water, yes so hot it makes me sick to my stomach?? Things like POison Ivy treatments work well, but they just further dry out the skin and promote more itching..any advices from you veterans would be appreciated,thanks Lynda

diferences between Biotron light therapy and photo rejuventation? Re: Need advice - (Lynda Fowlie) Date: Jul 31, 04:18 From: Laura

I have heard much of the benefits of Biotron and photo rejuvenation (IPL) but and unsure of the differences in how they work are you able to give me any information on this. do they both have medical applications as well as cosmetic applications? Is one more effective than another for treating skin conditions such as acne, eczema, rosacea, wrinkles, scarring? Kind regards Laura

silver dressings Re: Welcome to the SMTL Wound Management Forum - (Pete Phillips) Date: 2004, Feb 08 From: Kim Clemens

Does anyone have experience using silver dressings such as acticoat or aquacel ag or arglaes (medline products) on neonates in the nicu? If so please respond with what your experience has been.

Acticoat Re: silver dressings - (Kim Clemens) Date: Aug 28, 02:04 From: Janice

I am a Wound Care Nurse at a long term care facility. I started using Acticoat 2 months ago and it is very good! I've seen measurable improvement. However, excellent nutrition is extremely important. Checking the albumin level will give you a good start. The product Juven (a powder mixed with water) is a great companion with Acticoat.

Where to buy Juven in UK Re: Acticoat - (Janice) Date: Sep 22, 21:13 From: <jaydou at nextgen.net.mt>

Please could someone tell me where I can buy Juven Nutritional drink in the UK

Silver Nitrate Soaks for leg ulcers - is it safe? - is there evidence? Re: Welcome to the SMTL Wound Management Forum - (Pete Phillips) Date: 2004, Feb 13 From: Christine

I wonder if there is any research evidence to support the use of daily 20 minute soaks of silver nitrate on a long standing (6 years) leg ulcer pre dressing. Is there any side effects from using this regime over time. Does anyone have experience of using this regime - good or bad? I look forward to responces With thanks

Untitled Re: Welcome to the SMTL Wound Management Forum - (Pete Phillips) Date: 2004, Feb 18 From: <Anonymous>

I noticed a question on estabihment of hospital based Woundcare centers. The APWCA.org site has a listing of such centers and the application has very good questions which actually can be used as examples of what is needed. ie type of specialities and staff, equipment, record keeping etc. feel free to write if you have any further examples lschus at comcast.net

Brand New Forum Re: Welcome to the SMTL Wound Management Forum - (Pete Phillips) Date: Apr 30, 08:32 From: Sperry

You can find an attractive and complete new wound care forum, built by a European wound care consultancy company (Wound Caring Projects) on http://www.woundcaringprojects.com/forum/ Good luck

Wound temperature Re: Welcome to the SMTL Wound Management Forum - (Pete Phillips) Date: May 28, 19:19 From: Marloes van Kouwen

Hi, Is anyone familiar with taking temperature of a woundbed? I got an infrared thermometer and cannot find any articles on it. I cannot find the brand on the thermometer itself. It only marks: Standard ST-8810 Who can help me? Thank you in advance, Marloes

diabetic foot ulcer Re: Welcome to the SMTL Wound Management Forum - (Pete Phillips) Date: Jun 26, 13:22 From: Tania

We are currently trying our best to heal an ulcer located on the outer maleolus of a patients ankle, she came to us with this ulcer. She is allergic to all primary dressings that we have used so far to control exudate e.g Allevyn, granuflex, etc. It did look at one point like it was healing, with good blood supply, evidence of granulation. However, it has broken down again, she has osteomylitis, and diet controlled diabetes, and is also immobile. We are having problems with masceration and now she has mrsa. Currently we are using iodaflex, with non adhesive primary dressing (release)with surgipad and crepe bandage from toe to knee. She is not suitable for VAC, due to the position and state of the wound at present. Can anyone give me a clue as to what we can do to give this wound a correct environment in which to heal. Regards Tania

TX NURSE Re: diabetic foot ulcer - (Tania) Date: Sep 15, 13:04 From: TERRI FRALICK

hello, Oh the frustrations and challenges of the tx nurse. I have a similar problem myself I inherited so to speak. This is what I have done so far. I started him on IV fluids of D51/2ns @ 75cchr c rocephin 1 gm q day x 7 days. They need hydration and helps distribute the antibiotics more prof. ect. I ordered him an air cell matress which he was eligable for. I started him on debreedment c accuzyme aprox a nickel thick c barrier cream to non affected peri wound tissue.Since hes has tendon exp. I use a hydrating sol to that area c xeroform dsg. I am attemping to get him a graft but right now dealing with the infection. His heels should be floated His pre albumin and traditional blood work shoud be done and nutritionist alerted.Pt probably needs up protien in diet. And ofcourse turned q 2 hrs. The wound is washed with some pressure can be poured at a distance or via syrenge but not left wet. Pain management has been initiated. If this person gets up in a wheel chair it should be for a restricted amt of time and or legs elevated. Hope this has been some help.Fellow nurse T.Fralick

Lip Pain - Trumpet Player Re: Welcome to the SMTL Wound Management Forum - (Pete Phillips) Date: Jul 08, 09:48 From: Lee

Hi, I am a trumpet player and last night experienced major pain in my lower lip. A small spot like lump appeared on my inner lip and all one side of my lower lip has become inflamed and is very tender to touch. It looks like and feels like a bruise. Will Arnica Cream assist at all, if not is there anything I can use? Thank you Lee

hot metal burns Re: Welcome to the SMTL Wound Management Forum - (Pete Phillips) Date: Jul 20, 20:56 From: jackie

I work at a steel works. what is the first aid treatment for hot metal burns.

How long does it take a bruise to turn into an ulcer? Re: Welcome to the SMTL Wound Management Forum - (Pete Phillips) Date: Aug 25, 19:32 From: Sheryl Riley

We have a patient with vascular disease who claims he got a bruise on his knee from a car accident, which turned into a non-healing ulcer 6 months later. Is that possible, or was there another injury in that time period? Thanks for the input.

Identifying a Stage II pressure ulcer Re: Welcome to the SMTL Wound Management Forum - (Pete Phillips) Date: Aug 28, 02:42 From: Janice

I am new as a treatment nurse and am having a problem with proper identification of skin condition which I am calling a Stage II pressure ulcer. Buttocks with redness and scattered excoriation/abrasions not always over a boney prominence but on the gluteus maximus, caused by friction, shearing, pressure in the bed or w/c; non-compliance with repositioning and possibly not being repositioned enough by the staff. The previous treatment nurse did not identify this as a Stage II Pressure Ulcer and it looks like there is an INCREASE in pressure ulcers. Am I wrong?

grading ulcers Re: Identifying a Stage II pressure ulcer - (Janice) Date: Sep 29, 09:39 From: milsma

this is my first time on the site and either I can't navigate or noone replies to the queries left. I shall attempt to either answer or generate some discussion. The first thing to check is the grading scale you are using. Some class a non blanching erythema as grade one others class it as nought. I imagine it would be useful if you could be clear about what you're assessing and that others with whom you liaise are clear as well. In terms of comaring statistics on prevalence then so long as your definitions are clear you should be ok. Perhaps you could look at this as you identifying more people who may prrogress to develop further skin damage rather than more people developing sores. This is a fairly general response. If you're still there it would be useful to hear back.

Keloids Re: Welcome to the SMTL Wound Management Forum - (Pete Phillips) Date: Sep 27, 13:06 From: <homar at ebucksmail.com>

Hi, My wife has 3-4 keloids that have grown large from just pimples. She has coped because they are in unnoticable places. She has had steriod injections as well as cryotherapy. The cryotherapy did flatten the keloid but it made it very white and ugly. She has a 1cm wide by 1mm thick keloid on her face, developed from a pimple. She used a pimple treatment by Clinique which burnt the pimple but made it a scar. It is now growing at a rapid rate. She has had several injections but the keloid grows unabathed. My question is whether the Halean tapes work and if so at which internet shop I could purchase it. She is becoming very dispondent. She also has a cut from the knife of her gynae you know where. As she is getting older the cut seems to tear within and makes her very uncomfortable. Have other women (who have keloids) experienced anything similar. Hoosen, Johannesburg, South Africa. Thanks in advance for your help. D

Info on VAseline in wound care Re: Welcome to the SMTL Wound Management Forum - (Pete Phillips) Date: Sep 27, 15:37 From: <Anonymous>

I am keen to find any information on the use of Vaseline/White or yellow soft parrafin in wound care. Particularly whether it can be used on open wounds and if it is licensed for use in wound care at all. Any information would be gratefully recieved. Thanks.

Lymph vessel leaking Re: Welcome to the SMTL Wound Management Forum - (Pete Phillips) Date: Sep 29, 13:24 From: Michelle

Hello, I had a skin cancer removed on my right leg inner calf about 7 weeks ago, most of it has healed but the problem I'am having is that lymph fluid has been leaking out and there is a hole that can't heal because of the lymph fluid making it wet all the time, I have been back to the surgeon twice, at the moment the treatment he has me on is an antibotic powder called Cicatrin then cover with jelonet then a gauge square and then absorbent pad to soak up the leaking lymph fluid then covered with a bandage, I was told four weeks ago it would stop leaking but am finding the hole is slightly getting larger and the lymph fluid increasing, my leg has been elevated firtually for the whole seven weeks,I change the dressing once a day and use saltwater to clean the wound, any advice would be much appreicated Michelle

MRSA and mobility Date: 2001, Jan 25 From: Clint Holland

Please reply to my email address <insurance at insurer.com) I am overseas and wonder if you can help. My wife is in a local hospital with MRSA (Multi) - and got this while being hospitalized for broken bones as a result of a serious car accident. She is presently also suffering PTA (short term memory loss) - and does not know our Daughter was killed in the accident. My question is ;- If not for the MRSA, I could I believe take Susy out for trips to Cinema in her wheelchair (via equipped taxi for such) - which I believe would give her a break from the hospital routine occasionally. But now with the MRSA being diagnosed she is confined to a room but can go to the Hospital garden if away from patients. Besides this she gets 20 minutes or so of psychotherapy a day. Could normally my wife be allowed out of the Hospital to go to Cinema or elsewhere, even though she has MRSA , as my understanding is that she is no threat to visitors or the public , just patients and those in contact with patients. Any general advice on this would be appreciated. I also appreciate Susy should be mentally capable of doing outside trips i.e. not be too stimulated while she is suffering from PTA, but anything is better than being in a small room 24 hours a day with limited contact for long periods with anyone and I simply wonder can be done re outside visits when one has MRSA ? Pls reply to <insurance at insurer.com> Thank you, Clint Holland

Toddler MRSA infection Re: MRSA and mobility - (Clint Holland) Date: 2002, Apr 02 From: Shane Rose

My child had a boil-type lesion come up on the back of his leg which tested positive for MRSA. This child previous to this has been very healthy. The physician put him on Cipro when he came out of the hospital and he seemed to do very well. Two days after completing his antibiotic course he got a very small scratch on his ear and his fever shot up to 104.4 and was taken to the doctor. The doctor was skeptical that the fever was due to MRSA. However, because of my obvious concern he cultured the scratch which again grew out MRSA. At that time he was put on Clindomycin and he has been on this medication for nearly four weeks. Three days ago my father in law, who has very little contact with my son, got a lesion similar to my son's. The doctors were again skeptical that this was MRSA because my father is healthy and has little contact with my son but guess what it grew out MRSA. Now I am concerned because the doctors are unable to tell me how my healthy son who, previous to getting his first lesion, had not been in the hospital in three years and has no other known contacts with MRSA, got MRSA. HELP--Is there a phsyician or group of Physicians who know more about MRSA than my local physician and who are they, how can I get in touch with them---My four year old has been isolated from everyone but his immediate family (brother--who tested negative, sister, father and mother) since January. i need to know how he contracted this and what to do about keeping it gone. please if you have any information forward it to me thank you.

Healthy 15 year old Insulin Dependant Diabetic gets MRSA Septicaemia???? Re: Toddler MRSA infection - (Shane Rose) Date: 2003, Sep 23 From: Julie

Help! Need information on MRSA. My 15 year old son developed MRSA Septicaemia. No previous admissions to hospital. Very healthy prior to this. Ever since this my family have been plagued with abscesses and infected boils which are indicitive of MRSA but our health authority will not give us any answers. My hubby and I both work for the health authority. Please contact me if you can help.

Diets Re: MRSA and mobility - (Clint Holland) Date: 2003, Jan 30 From: Johann-Louise Martin

Dear sir madame i am doing a project on mrsa and i am wondering if you could send me out some information on the diets for mrsa. thank-you! jm

Arnica cream - does it do anything? Date: 2001, Jan 31 From: Ramon Pediani

Has anyone tried arnica cream to relieve the discomfort of subcutaneous infusions?

ARNICA INFO Re: Arnica cream - does it do anything? - (Ramon Pediani) Date: 2002, Nov 23 From: JULIA HAYES

Hello. I too have MRSA, and severe eczema on my hands predominately. I am a Massage therapist, and therefore have and do use various lotions which all have arnica. It seems to acrevate my itching and causes some pain. I wonder if there is any connection?? Good Luck. We need it.

Answer: ARNICA Re: ARNICA INFO - (JULIA HAYES) Date: 2003, Jul 26 From: Daniela C. D.

I´m doing Pharmacy for industrial purpose and maybe I can help you with something that I know: As we know, Arnica has antiinflamatory action, and it will delay the process of healing, because one of the phases of the healing is the inflamatory.

Arnica Re: ARNICA INFO - (JULIA HAYES) Date: 2004, Apr 19 From: <yoginichouhan at btinternet.com>

Arnica is a great healant. used for sports injury on unbroken skin. great for the back when sore. use hot for two minutes followed by cold for two minutes. alternate between hot and cold. finish with hot. helps circulation. this message is from a student of Homoeopathy. Who uses and recommends Arnica. i disagree with all the negative information that has been ditributed.

Looking for Pressure Trauma Prevention risk assessment scales! Date: 2001, Feb 12 From: Rachel McBride

Hi there - I am a staff nurse in an older adult mental health ward and I am trying to research into Pressure Trauma Prevention. At the moment my ward uses the Waterlow Risk assessment scale to measure risk. I would be really grateful if anyone can let me know of other scales that they have found to be effective and / or any research to back this up. Thank-you

Deep wound infection unlikely because __?__ scan was normal. Date: 2001, Feb 14 From: Rocky

What scan would tell a doctor that a deep wound infection was unlikely? The white count was normal, the sed rate was fine, and the ______ scan was completely normal. It sounded like a "sur-tac" or "zeru-tac" scan. It was not stereotactic scan. Can you please help me identify this word that I cannot understand? Thank you, Rocky

Response to "Deep wound infection" Re: Deep wound infection unlikely because __?__ scan was normal. - (Rocky) Date: 2001, Sep 28 From: Daniel S. Toutant, DPM

I beleive the word you are looking for is Ceretek (sp?) as related to the Ceretek Technicium bone scan. This is a 4-phase bone scan where typically a technicium scan is only a 3-phase scan. A typical technicium scan is read 3 times following the introduction of the radioactive marker. Usually immediately, then in 5-10 minutes, and finally after 2 hours. A 4-phase scan adds an additional read after 24 hours.

use of laser in wound healing Date: 2001, Feb 17 From: Daniella

I am currently looking for information relating to the use of gallium arsenide lasers in wound healing. Any references would be appreciated, especially those that discuss specific parameters (dosimetry, pulse frequency, treatment schedules) Thank you, in advance, for your assistance

Untitled Re: use of laser in wound healing - (Daniella) Date: 2001, Jul 17 From: Wayne Naylor

Have a look at this web site on low level laser therapy it may be helpful, they use Gallium Aluminium Arsenide lasers. http://www.omegalaser.co.uk/index.html

More Lasers Re: use of laser in wound healing - (Daniella) Date: 2002, Jan 25 From: Anneke Andriessen

Any one find more companies around? http://www.helbo.co.at/en/therapy/th_therapy.asp Publications on what actually happens? These guys think they're influencing mitochondria... Take care Anneke

laser in wound healing Re: use of laser in wound healing - (Daniella) Date: 2004, Feb 29 From: Jan

I am a physical therapist who has been using laser in wound healing for 10 years with good success. We have a gallium arsenic laser, 140 milliwatts. We are currently facing some opposition from our Best Practice council (rightfully so) due to the lack of evidence based research on this modality. I would love to hear from anyone who has such research results, positive or negative. Thank you.

growth hormones used on acute wounds, Date: 2001, Feb 18 From: mandy

Does anyone have any leads regards growth hormone topical application on acute wounds. I am conducting a literature review on this subject. Any leads would be great thanks.

Larval Therapy Where? Date: 2001, Feb 22 From: Des O`Leary

Hi, I have heard about excellent results with larval therapy on wounds resistant to conventional treatment. Elderly patient has ulcers on soles of feet getting progressively worse despite daily treatment. Anyone know how larval treatment could be obtained in Dublin, Ireland?

university assessment Re: Larval Therapy Where? - (Des O`Leary) Date: 2001, Aug 07 From: amy

hi, im currently studying nursing at the university of newcastle Australia, and i am currently doing an assigment on larval therapy in the treatment of wounds. it would be greatly appreciated if anyone with journal articles or appropriate literatur could maybe contact me at red_may_82 at yahoo.com thanks very much

some clues or other suggestions.. Re: Larval Therapy Where? - (Des O`Leary) Date: 2001, Sep 06 From: kelly drew

Hi there, I don't think that i can help you directly, seeing as i am in canada, however, i wonder if you read the article from WWWounds some time ago. it seemed to me that it was available by prescription. if your doctor did not know, then there may be some other avenues. I am not up to date on your health care system, but here, we have visiting nurses who work for agencies or nursing services. Within those agencies, sometimes, are wound care specialists. or perhaps you could ask at the nearest clinic or hospital about the same. in the meantime have you tried betadine soaks? i am assuming that these wounds are quite mucky, in which case the betadine can help to dry them up and reduce any excess bacteria present. Hope this helps.

Try contacting Steve Thomas !! Re: Larval Therapy Where? - (Des O`Leary) Date: 2001, Nov 24 From: Lee Tomlinson

Hi there, I've used LarvaE therapy a couple of times and it really does work and is so simple to use - converting the rest of the staff is not so simple however!! I'm not sure about the maggots being sent to Dublin but I see no reason why not. They are only available from Wales where Steve Thomas is the main person in the Research Unit. Try this contact Biosurgical Research Unit Bridgend NHS TRust Mid Glamorgan 01656 652 166 01656 752 820 They are very helpful.........good luck Lee

response to Larval Therapy questions Re: Larval Therapy Where? - (Des O`Leary) Date: 2003, Apr 03 From: sharon

I recognize that this is 2 years old, but there may be help for others. Ronald A. Sherman, MD, MSc at Dept of Medicine and Pathology at University Of Calif. Irvine e-mail; RSherman at UCI.edu. He has been very responsive to my inquiries, by phone, fax and email. Helped me write the Policy and Procedure for use of Larvae in my facility. And is the only place in the USA where you can buy medical use larvae.

larvae information Re: Larval Therapy Where? - (Des O`Leary) Date: 2003, Nov 15 From: <elunedmorgan at hotmail.com>

Hi, I am a third year nursing student at the university of wales,Swansea. I am currently writing my dissertation on the use of larvae in wound healing, and the psychological effects involved. I would appreciate any references or web sites which you may have found useful. Thank you.

**PLEASE HELP**. Sucralfate on exudating wounds. . .the truth is out there. . .or at least any evidence? Date: 2001, Feb 27 From: James

A clinical incident has arisen where mis-communication between pharmacist-GP-nurse specialist-community nurse resulted in a service user taking sucralfate orally when the idea originally was for a topical sucralfate preparation. However my query is . . . 'is there there any evidence for the topical use of sucralfate in highly exudating and/or bleeding wounds, in this case malignant melanoma?'I would really appreciate any feedback on this, especially with references. Thanks.

Information on how to apply dressing on different types of wounds including skin tares Date: 2001, Mar 01 From: Diane

Could any body find me any informtion how to apply dressing on different types of wounds from skin tares to pressure sores from grade 1 to grade 5. I would be gratefull if you can give me any help? email me:- dianewhite31.hotmail.com

research into bioptron light therapy Date: 2001, Mar 02 From: Jackie

I am a student nurse looking for research on the Biotron products, polarisation of light and its healing, or these products good or gadget.

bioptron light therapy Re: research into bioptron light therapy - (Jackie) Date: 2003, Dec 29 From: Flo

I am interested in doing research on bioptron light therapy and healing as a paper for the Masters degree. Did you come across any good research?

Indicator research on the Bioptron Light Re: bioptron light therapy - (Flo) Date: Aug 16, 00:15 From: Tom

This is the easiest way to say what I have to say: http://groups.msn.com/provennaturalremedies/bioptronlight.msnw

heart bypass wound healing outside in Date: 2001, Mar 03 From: Lori McCoy

Eight weeks ago my mother underwent extensive heart surgery (3 valves and a double bypass). The chest wound has healed very nicely, however the incision in her upper right thigh where the vein was pulled for the bypass became infected, and now wants to heal from the outside in rather than from the inside out. She has a nurse come twice a day to pack the would with tape. Any suggestions on treatment would be appreciated.

wound care report form Date: 2001, Mar 11 From: Dirk De Wolf

I am searching for examples of woundcare report forms to add to a nurse report. I may set in Exell - format. I am also looking for cd - roms with pics.of wounds. many thanks, dirk.de.wolf at advalvas.be

Optimal concentration of acetic acid against Ps. aeruginosa in wounds? Date: 2001, Mar 12 From: Capelle

After extensive research in the scientific literature I have found no conclusive data on the optimal concentration of acetic acid used in wound dressings against Pseudomonas aeruginosa. Does anyone has positive experiences with the use of acetic acid and what was the concentration used? Does anyone know of the existence of a (placebo) controlled trial? Are ther more side effects known beside the severe stinging in the wound. The minimum inhibitory concentration of acetic acid in vitro has changed over the last 80 years from 0.08% till 2%. Is this phenomenon due to genetic changes in the bacteria or due to changes in the method of analysis? What are the better alternatives for acetic acid beside the use of antibiotics?

ROLE OF NUTRITION IN WOUND HEALING Date: 2001, Mar 14 From: Ted Yeoman

Hi, I'm trying to find a good essay or article on Nutrition & Wound Healing for my site (http://www.yeoman.org.uk). Has any body got anything useful I could either publish, I will give credit (no money but a credit!,) or use as a basis for a rewrite as an essay?

re:nutritional aids to wound healing Re: ROLE OF NUTRITION IN WOUND HEALING - (Ted Yeoman) Date: 2002, Feb 07 From: <Anonymous>

Arginaid is an useful supplement used in our facility with remarkable results. Also, oxandrin is a steroid that is now being used to help nutritional status of wound healing.

Help with an assignment. Re: ROLE OF NUTRITION IN WOUND HEALING - (Ted Yeoman) Date: 2003, Mar 24 From: mary

Hi my name is Mary and I am doing a Degree in Nursing in Co.Derry N. Ireland and was given an assignment on Nutrition and Wound healing and was just wondering if there was any tips or information that you could help me with. The assignment is to examine the evidence based in relation to nutrition and wound healing and explain how I would apply this to my own clinical nursing practce. Thanks.

What Dressing can I use?!! Date: 2001, Mar 15 From: Gai

I have an 83 y/o lady who seems to develope "allergies" to just about every dressing product we use, except gauze. Her skin usually breaks down after using; hydrocolloids, hydrogels,foams, non stick dressings eg, Adaptic and Opsite etc.She has even developed a rash after using combines and also undercast bandaging. She has a small ulcer at present on the medial side of her calf. The vascular surgeon said to use gauze and not to even soak it off but to leave it insitu and cut and trim around the stuck bit and place another piece of gauze on top!! I am confused. Have also tried an alginate, Kaltistat, but the wound was too dry. The peri wound edges always seem to break dowm and the wound gets bigger and bigger. It seems that her skin does not like having moist wound products on it. Help with some ideas on more appropiate dressing products Please !!. from Gai, RN Australia.

Untitled Re: What Dressing can I use?!! - (Gai) Date: 2001, Mar 15 From: Gai

Whoops forgot to mention that she is also allergic to Melolin and related products, not Opsite like I wrote. Have not tried that one, not game!! Gai

DRESSINGS FOR ULCERS Re: What Dressing can I use?!! - (Gai) Date: 2001, Mar 26 From: Josi Kemper

I had the same problem but now I use "NA Ultra" dressings, with Intrasite Gel first, and they NEVER stick or irritate. Josi Kemper

re: what dressing can I use? Re: What Dressing can I use?!! - (Gai) Date: 2001, May 30 From: Catherine

We recently treated small venous ulcers in an elderly lady with the same problem;- reactions to any kind of adhesive dressing, skin breakdown with any type of moist healing environment etc. She was also unable to tolerate compression therapy. After several months of trying a wide variety of products, we applied flamazine q 2 days, covered with a telfa dressing and fastened with a kling bandage. We were delighted when the ulcers healed within a few days of starting the treatment.

aquacel Re: What Dressing can I use?!! - (Gai) Date: 2001, Aug 17 From: Diane

Hello I'm a treatment room nurse at prestwich health centre. I read your message. Have you tried aquacel it is a convatec product (makers of kaltostat)It can be used dry on wet wounds and can be moistened for dry wounds. It is easy to remove.This can be covered with combiderm n it it a non adhesive so hopefully no allergies to adhesive. Has this lady had a doppler assesment Convatec web site is good. Has she had blood tests to rule out underlying aetiologis Diabetes, Thyroid problems etc. Dermatology for patch testing. Convatec is latex free. Hope this helps

cheaper alternative to jelonet for dry soreskin Re: What Dressing can I use?!! - (Gai) Date: 2002, Jun 18 From: libby & jan

could you please assist us with a cheaper wound product for red and dry raw lower leg and foot area. as jelonet is being used and that it is to expencive.

Varicose Ulcers Date: 2001, Mar 18 From: Laurie

I am a carer for an 82 year old gent with varicose ulcers, the GP and district nurse have told us that the only recommended dressing is a pressure bandage. However this causes the gentleman constant pain and great anxiety. Is there an alternative dressing or treatment that could be used? Any help would be greatly appreciated.

question Date: 2001, Apr 25 From: <dharmon at stargtr.net>

Can anyone give me proper instruction for using silver nitrate sticks on a deep abdominal wound? This wound was previously infected and I'm told it must heal from "the inside out". The wound covers a gastric fistula and must close in order for the fistula to remain closed as well. The surgeon went in 3" with the sticks- but I am a bit hesitant to go that far into the abdominal wall. Any advice appreciated. (The patient is my mother and I have some surgical training- so he says I can do this.) Help!!! Email responses to dharmon at stargtr.net THANKS! Jane

any ideas re: chronic non healing surgical wound? Date: 2001, Apr 27 From: <Anonymous>

I am an 42 yo American man with a chronic non healing surgical wound. Below is a brief history---I will provide more detail to anyone that should require same. Please excuse my poor spelling and improper use of clinical terms. The Steadman's is two flights down. In March of 1997 I fell and broke my right fibula and greatly dislocated my right ankle. The seemingly simple orthopedic procedure (a plate on the fib and a distal screw throught the ankle) was met with complications---up to and including osteo-meylitis. Following the first 5 orthpedic surgeries, I was left with a small (2" x 1"---please excuse my metric ignorance) atrophic wound. A 4 week hyperberic treatment was unsuccessful. some 14 months following hyperberics (10/99) I developed a serious soft tissue infection (staph-aureous) at the wound sight. Two extensive i&d's were performed. Two different attempts at skin grafs failed (10/99 and 1/00). Still have a apx 3" x 2" wound now atributed to chronic venal disease---the result of the trauma 9 pieces of surgery and the injury itself. The wound is changed daily using a wet to dry saline dressing. The lower leg is wrapped witha compression bandage (i.e. Ace or similar). No progress so far. Surgery dosen't seem to be a viable option. Complicating matters---this situation has left me out of work for the past 18 months and uninsured---greatly limiting my access to medical care. Any suggestions, comments, ideas would be most appreciated---especially personal protical which I could affect myself. Thanks Gene

Why not try centella asiatica TTFCA or TECA Re: any ideas re: chronic non healing surgical wound? - Date: 2002, Mar 19 From: Mohamed Arif

You can please try oral(capsules or tablets form)of a natural product containing TTFCA or TECA- extract of Centella asiatica and simultaneous topical application of the same in the form of cream or ointment.

also American, are you on Medicaid? Re: any ideas re: chronic non healing surgical wound? - Date: 2002, Aug 24 From: Elizabeth

Gene, I am also American, a PA-C specializing in wound care in the Midwest. Do you have Medicaid or it's equivalent in your state? There are several new options available in the recent months and Medicaid seems to cover quite a few of them. What color is the wound bed? Is it draining? What color is the drainage? Do you know how deep it is? My first recommendation would be to keep it moist, instead of using the wet to dry method. If you'd like to email me, you may email at bnesquared at yahoo.com. best, elizabeth

please check into............................... Re: any ideas re: chronic non healing surgical wound? - Date: 2002, Sep 17 From: penny

Hi, my name is Penny and my daughter kind of knows what you are going through. My daughter had a foot injury, due to a wave runner and had several lacerations in her foot. One of the lacerations ended up with a staph infection in it also. Her doctor ended up having to do surgery and cutting out the infection and any dead skin. She is now planning on having skin grafs done on 9/17/02. I have to tell you if it wasnt for medicaid, i wouldnt know what to do. They can help you with everything from cash, food down to medical. To date they have paid every penny for my daughters medical treatment. Please check into it. It will help and it may give you a little comfort to know that you will be okay. Good luck to you.

Please contact someone that knows wound care....... Re: any ideas re: chronic non healing surgical wound? - Date: 2002, Nov 05 From: Dale

For heaven sakes please contact somone that knows wound care. Wet to dry is ancient care giving to wounds of your type. Is there swelling (edema)? Then a 4-layer compression system is indicated....you need at least 40mmHg compression. Does the wound have heavy drainage? An alginate/foam. Light drainage....an Hydrocoloid..... Somewhat dry...a gel... A two piece compression stocking called Thera Press Duo by Hartmann-Conco may help....easy to remove and put on.... If $ is a problem write back and we will find common alternatives. Sincere Regards, Dale

mrsa???? Re: any ideas re: chronic non healing surgical wound? - Date: 2003, Sep 24 From: Julie

Hello, I would just like to say in reply to your message, you say you had a soft tissue infection "staph aureous" is it M.R.S.A ??? Methycillin Resistant staphlococal Aureous? My son contracted this, he had MRSA Septicaemia. Please contact me if you want more details

med.dr. Re: any ideas re: chronic non healing surgical wound? - Date: 2003, Dec 21 From: richard huget

Pleas try with saliva solution as described at www.huget,de

Battlefield wound management (post debridement). Date: 2001, Jun 26 From: Sally Simmons

I am doing a lit search on battlefield wound management post initial debridement, and wonder if anyone has any articles or original research they could let me have references for ? Sally Simmons [posted on Sally's behalf by Pete Phillips, Webmaster, SMTL]

Brown Recluse Spider Bite, chronic Date: 2001, Jun 28 From: Melissa

To anyone who can help; My name is Melissa and I work in woundcare in a hospital in Springfield, MO. I have a new patient who was bitten by a Brown Recluse Spider 8 years ago. It is now a large black area on the anterior portion of his left lower leg. The wound opens every year, usually in the summer time and it is extremely painful for him. Currently, he is receiving a 10 min whirlpool at 98 degrees Farenhite three times a week. Then, the wound is dressed with polysporin powder and collagenase "santyl" to debride away necrotic tissue. I also do sharp debridement; however, the wound is so painful that he can hardly tolerate this. So far nothing seems to help and I have also read that the venom is temperature dependent so now I wonder if maybe the 98 degree whirlpool is doing him more harm than good. If anyone has any ideas on how to heal this wound PLEASE let me know! My email address is Dnoces78 at AOL.com . Thankyou, Melissa

Untitled Re: Brown Recluse Spider Bite, chronic - (Melissa) Date: 2002, Aug 28 From: <mary.ransbury at verizon.net>

you might try lightly filling the cavity with iodosorb or the flex depending on the drainage. then setopress with the green squares out due to the amount of pain. change it every two days but remove the wrap at noc. somehow it worked for me.

Action Potential Stimulation therapy Date: 2001, Jul 05 From: Belinda Ihaka

Gidday all, I am hoping to find another who uses APS (action potential stimulation) therapy in regards to wound management. Sure this tool can be used to improve general circulation, but I was wondering if anybody has applied this tool locally in regards to wound healing? You may email me privately at the above address. Regards, Belinda Ihaka BHSc(POD)M.N.Z.P.Soc.

Hydrogen peroxide in a sinus wound? Date: 2001, Jul 06 From: Kate Mellor

I have recently had a patient referred from hospital with instructions to irrigate a deep narrow sinus in his foot with 1/2 strength Hydrogen peroxide, then pack with sorbsan soaked in betadine. his other wound on his foot is reasonably clean but overgranulating and we have been asked to apply terra-cortril cream with inadine over! (I have already omitted the peroxide).Comments please.

Collatamp G in a cavity wound - is this appropriate for primary care? Date: 2001, Jul 18 From: Gill Speak

A patient has been treated for a cavity wound on the thigh for about 20 years. For the last 5 years the orthopaedic consultant recommended use of Betadine solution on gauze. The wound remained infected and painful. The DNs expressed concern about the safety and rationale for this, and entered into correspondence about it. Tissue Viability nurse instituted a course of metronidazole gel and tablets, and the regime was changed to Intrasite and Sorbsan. The infection resolved. The consultant is now recommending they use Collatamp G, as they are unwilling to continue with Betadine and gauze. He says he wants to use an antiseptic dressing. Collatamp G is not on Drug Tariff and costs £110 (per dressing?). What are the issues here? Can anyone advise please?

aplegraft Date: 2001, Jul 20 From: <gomeara at juno.com>

Has anyone heard of the use of skin graft called aplegraft. It uses human skin to cover excised skin. Skin is grown from other human skin? My sister-in-law is looking for information on this procedure to determine if it is a viable option for the treatmant of her son's nevus on his hand. Thanks.

Untitled Re: aplegraft - Date: 2001, Jul 23 From: Rand

Have a look at: www.apligraf.com I'm not too optomistic that it would be a solution for a nevus. Best to consult with a competent plastic surgeon for advice.

Sickle Cell Leg Ulcers Date: 2001, Jul 31 From: Janet M. Davis

I have a 51 yr. old female with a 2 yr hx of leg ulcers and hx of sickle cell. The literature I have found has been very limited in the discussion of leg ulcers in sickle cell. If anyone has knowledge or experience with this dastardly problem, please respond. Thanks J M Davis

Article Re: Sickle Cell Leg Ulcers - (Janet M. Davis) Date: 2002, Jan 25 From: Anneke Andriessen

One of the items I googled up. http://www.ohsu.edu/cliniweb/C17/C17.800.893.html There are two links Take care Anneke

menningococcal skin lesions Date: 2001, Aug 03 From: amanda

I am currently undertaking a dissertation for the final part of my degree and I am very interested to hear from other professionals who have cared for patients with menningococcal sepsis and cared for necrotic wounds and skin lesions. I work in a Paediatric Intensive Care and would like to know what other professionals do in caring for these wounds from the very early stages onwards and if you have a protocol in place. Thanks for your attention Look forward to hearing from anyone out there.

Radiodermatitis Date: 2001, Aug 14 From: Ana Cristina Ribeiro Rama

I would like to know if you can informe me about guidelines, protocols or articles for prevention and treatment of radiodermatitis in patients undergowing radiotherapy. Ana Cristina Ribeiro Rama Hospital Pharmacist Manager of Drug Information Service www.simed.org

CPT Codes Date: 2001, Aug 16 From: Lori K

what type of CPT codes are being used for wound care?

topical antibiotics for infected wounds Date: 2001, Aug 16 From: inge teugels

I'm working on an assessment on the use of topical antibiotics in wound infections, especially leg and foot wounds, diabetic wounds. There is little objective data in the literature apart from atricles and research sponsored by pharmacollogical commpanies. Therefore any help (references or advice) is appreciated,on issues like hypersensitivity and resistance. thank you very much for your help, friendly greetings, inge

topical antiseptics Re: topical antibiotics for infected wounds - (inge teugels) Date: 2001, Aug 17 From: Diane

Dear Inge Lineaweaver W, Howard R, Soucy D etal (1985))Topical antimicrobal toxicity. Arch surg 120:267-70 Cameron S, Leaper D (1988) Antiseptic toxicity in open wounds Nurs times 84(25):77 hope this helps

Inquiry Re: topical antibiotics for infected wounds - (inge teugels) Date: 2003, Sep 16 From: Virginia Hill

Need information for a 15 year old wound in front of foot due to accident. Doctors advised amputation, but patient refused. Ligaments were destroyed, but main problem is constant infection. One doctor recommended rerouting blood veins, but lot of fear involved in any operation since leg/foot is slow to heal. Once a doctor applied antibiotic in a paste and infection healed amazingly fast, but can't find that doctor and present doctor could not find information about this.

lux flakes (a blast from the past) Date: 2001, Aug 16 From: paula curtis

can someone help us. We are a district nursing team, whose patients are advised by wound clinics to use lux flakes and a blast from the past for some of us, in that this was used back in the 80's for wound cleansing. What is the research on this? etc or is there research evidence on the viability of it's usage

Untitled Date: 2001, Aug 18 From: barbara

Looking for a support group in the Philadelphia area for unhealing wounds in radiated tissue.

Date: 2001, Aug 21 From: <Anonymous>

Multidisciplinary Woundcare Team Date: 2001, Aug 22 From: Patrick Hennelly, CWS, PT

Would you be so kind as to comment on what you would consider the ideal multidisciplinary woundcare team, how it would receive consults, divide labor between MD/PT/ET and perform outcomes management? Thank you, Patrick Hennelly, PT, CWS Certified Woundcare Specialist Clinical Specialist Physical Therapist University of Virginia Burn and Wound Healing Centers Charlottesville, VA 22908 804-243-6313 pth3x at virginia.edu

Cleansing of chronic foot ulcers Date: 2001, Aug 23 From: Martin Fox

I am reviewing routines around the washing / cleansing of chronic foot ulcers within our NHS Trust with the nurses. Advice to patients varies considerably between individual professionals, from keep the ulcer dry through to wash in a bucket of water with a 'handful of salt'. Some patients have not washed their foot for 18 months. Others routinely use 'salt water', which causes excessive drying of the skin. Using the study by Angeras et al, 1992 (on wasing of leg ulcers in tap water), I would like to suggest we come to a concensus of reasonable routines for all patients with chronic foot ulcers. This would involve them washing the foot and wound perhaps once a week in warm tap water, followed by self dressing (or by a Carer) using a clean technique. Does the forum have any advice or opinions on this aspect of wound care? Regards Martin Fox Podiatrist

WASHING LEG ULCERS Re: Cleansing of chronic foot ulcers - (Martin Fox) Date: 2001, Sep 11 From: <Anonymous>

The ulcer clinic, which I used to attend, used this method. i.e. washing in a bucket of warm water, drawn from a tap, no doubt full of bacteria from the tank in which is was stored. Never did they wash my foot first and those who did not perform this task themselves had their dirty toes and foot also being washed into their ulcer. Therefore, I consider it a very silly method of cleaning an ulcer.

Untitled Re: WASHING LEG ULCERS - Date: 2002, Feb 07 From: brispark

apologies I was not refer to Mr fox but to his first respondent

maybe binliners would help! Re: WASHING LEG ULCERS - Date: 2002, Jun 06 From: student nurse Rose

I have recently completed a placement, working within the community. The washing of leg ulcers has become an issue well talked about amongst community nurses. At present community nurses are advised by infection control that the best current practice is to wash the ulcer using warm tap water in a bowl/bucket lined with a bin liner.The bin liner therefore minimising the risk of cross infection.Emollients may be used on dry areas of skin surrounding the wound bed, but the use of salt I have never heard mentionedWe should as medical professionals protect clients as much as is possible and at present this would appear to be the most appropriate way of protecting clients from infection.

Washing wounds in tap water Re: maybe binliners would help! - (student nurse Rose) Date: 2002, Jun 10 From: <Anonymous>

Warm tap water will almost certainly contain bacteria as it usually comes from a hot water tank. This is how I picked up an infection (I'm almost certain) from this treatment at an Ulcer Clinic.I no longer attend there. I wash it myself with saline solution from sachets. If the water is boiled first and cooled with cold tap water, which is recognised as being safe, this would be better than from a hot water tank.

Another example of careless ulcer washing Re: WASHING LEG ULCERS - Date: 2003, Aug 02 From: Mrs L. Phipps

My elderly mother, whose ulcers were showing encouraging signs of healing, had her ulcerated leg washed at a local ulcer clinic. No lining was put in the bucket and ordinary tap water was used. The foot was not washed first. The result was an infection which seems, over a year later, to be on-going and requires constant courses of anti-biotics. A word of warning to nurses, doctors and ulcer sufferers.

washing wounds Re: WASHING LEG ULCERS - Date: 2004, Mar 10 From: Jackie

Upon the unit where I work we have for some time now cleaned wounds in water as it was felt that saline had no advantages due to the fact it can become contaminated once its in contact with the air. Effective treatment of the wound should ensure that infection is kept to a minimum.

Untitled Re: Cleansing of chronic foot ulcers - (Martin Fox) Date: 2001, Oct 05 From: paula curtis

We have been washing a number of our leg ulcers in warm tap water. This was done after reading the research on tap water and normal saline. Dressing removal was much easier, painfree and comforting to the patient as the warm water is soothing. Why we started the bathing of ulcers in this way was due infact to one of the local wound clinic advice to the patients to soak their legs in warm water with lux flakes. having found no research or literature decided that the best policy was to implement the research we knew and was confident about.

Untitled Re: Cleansing of chronic foot ulcers - (Martin Fox) Date: 2001, Oct 16 From: <tina.chambers at weht.swest.nhs.uk>

Your suggestions certainly fit in with our Trusts Policies and Guidelines.

Pyroderm gangrenosa Re: Cleansing of chronic foot ulcers - (Martin Fox) Date: 2001, Nov 14 From: Kathie

Just wondering if someone can help at all. I have a friend who is suffering from severe Pyroderm Gangrenosa. We are told she is only one of six people in the world with this disease. Unfortunately as we live in Australia knowledge about this is very limited and there is no funding of any kind for mediation or wound dressings. Can anyone help us out with suggestions of methods for changing dressings, what should be used for dressings and also medications. Any supporting evidence would also be appreciated. At this point it is costing here in excess of aud$1,200 per month for medications and dressings. Please help. Kathie

Pyoderma Gangrenosa Re: Pyroderm gangrenosa - (Kathie) Date: 2001, Nov 17 From: Liz Garrood

Hi kathie Not sure if this will be much help, but I am currently looking after someone with this disease and the treatment that has been effective so far is Locoid cream to lesions, covered with Mepitel dressings and gauze pads. Also good steroidal treatment - Prednisolone 20mg daily to reduce inflammation and analgesia such as Co-Dydramol for pain. Over a period of approx 8 weeks the lesions have dried and are starting to granulate nicely, although the underlying GI problem determines that the condition is likely to reflare in the future. Hope this is of some help, Liz

Ulcer adjacent to stoma Re: Pyoderma Gangrenosa - (Liz Garrood) Date: 2002, Mar 12 From: Esther

Hi: I would appreciate any input that may help my situation. I'm 39 yrs. old & have a 27 yr. history of Crohn's. Last June, I developed a Pyoderma Gangrenosa (P.G.) ulcer adjacent to my ileostomy stoma (which was retracting and not providing a good seal to begin with, anyway).Until then, I had never heard of P.G.. Treatments included Cipro & Flagyl, Remicade IV, intradermal steroidal injections into wound, Cyclosporin IV, and Cyclosporin orally. Xtra-strength Hydrocodone for pain. I also tried the usual cleansing with water, alcohol & peroxide none of which seemed to make a difference. I started debrieding the necrotic tissue myself & even had to cut off some of the tissue which grew over my stoma & prevented the pouches from fitting. I controlled the bleeding with pressure. The ulcer healed up in Dec., but came back the 2nd of Feb.. It's approx. the size of a skinny lemon & is getting worse. It is hard to change my ostomy pouch- the pain is incredible at times, & the appliance doesn't stick to the entire side the ulcer is on.I wear an ostomy belt to hold it on, but this causes more pain. I'm confined mostly to my home & had to stop working last Oct.. I've had approx. (9) abdominal surgeries to date. I really don't want to have another one, but the doctors want to relocate my stoma to the left side of my body and let the ulcer heal with medication. I'm right-handed & would have a terribly hard time managing my ostomy on the left side. I'm also over-weight & surgery would be a risk as far as the ostomy goes.I could end up worse than I am now. If anyone knows of an ulcer like mine, please let me know. I'm running out of things to try. Presently I'm on 800mg/day of Cyclosporin orally & am going for steroid injections in two days(2-14-02). Thanks, Esther

Esoteric treatment for advanced pyoderma Re: Pyoderma Gangrenosa - (Liz Garrood) Date: 2003, Jan 20 From: Jon M. Green, CLU

I was asked to assist this sixty year old man with his health insurance issue. Knowing nothing of the disease, I looked at the web. His disease is not controlled and there appears to be no skin from about one inch below his knees to one inch below his ankles on both legs. The odor is strongly reminiscent of gangrene, the ulcerations are weeping through three layers of absorbent pads, and dehydration is a constant factor. He has been treated with multiple IVig, discontinued when the insurance company canceled his coverage. He is on "pain patches" of 72 hour duration, oral meds, and antibiotics. On a scale of 10 being the most severe, if he stands, his pain is a 9; sitting the pain level eventually slows to a 6. The IVig seemed to be working but at $22,000 per treatment the doctor and hospital discontinued them when the insurance canceled, and he is regressing rapidly. Does anyone have any suggestions which might provide sources of treatment which have some effect, are cost effective, and even perhaps available on a reduced cost basis? This is not my line of work, but nobody can stand by and watch a person suffer like this. Thank you for your input. I deliberately identified myself, but kept confidential the identity of the person afflicted, as I did not ask their permission to proceed with this quest for assistance.

A novel treatment approach for pyoderma gangrenosa/GI disorders Re: Esoteric treatment for advanced pyoderma - (Jon M. Green, CLU) Date: 2003, Jun 21 From: John R. Tanner, MD

Fasting for at least 5 days while drinking plenty of spring water and taking vitamin C 5000-10000 mgm daily (orally) will initiate the improvement. When food is reintroduced, all favorite foods (those regularly eaten daily, every other day or every third day prior to the fast) should be avoided for at least 3-4 months. Food ingestion resumption should consist of those foods rarely eaten before the fast. The theory is that the pyoderma and related GI disorders are maladaptions to stressor foods. The stressors (contained in the "favorite" group) act ultimately through the Cox 2 enzyme -->prostaglandin E2 process. The stressors are almost always foods upon which the patient is physiologically dependent (thus, the frequency of ingestion). Avoidance of those which are the stressors will resolve the condition. Steroids and other "treatments" are not necessary during the fast (except for the mega doses of vitamin C). Cox 2 inhibitors such as Celebrex theoretically should be therapeutic, but are "sulfa" type drugs and may react in certain individuals.

pyoderma gangrenosa Re: Pyoderma Gangrenosa - (Liz Garrood) Date: 2003, Jul 16 From: diana arnold

I have been diagnosed as having this disease and don't know what to do about it. No one has any answers for me except that I have pyoderma gangrenosa. This has been going on for 15 years and no one has any solutions for it. I really have a terrible time with this. Right now I have both arms bandaged and am on a variety of medicines. It is very painful and the sores that I get are unreal. I get big sores and sometimes they get a black crust on them. I am spending an average of $144.00 a month on dressings and medicines and they tell me that the dressings are not covered under my insurance. This bout has been going on for 4 months with out any signs of letting up. Is there anyone out there that can help me? I just can't get well. Are there any solutions out there? Diana Arnold

Pyroderm Gagrenosa Experience Re: Pyroderm gangrenosa - (Kathie) Date: Aug 09, 00:03 From: Dan

Some experience of mine with PG that may be helpful. I had Ulcerative Colitis and many ulcers. Surgery to remove the colon 25 years ago helped greatly, but i still get ulcers around the stoma occassionaly. My first ulcer 25 years ago on my leg spread rapidly. i developed many more in the following few days on my legs and back. Medicines were prescribed as in other messages here, but did not work. A specialist was finally called, ( i cannot remember her name, but she is the one who who had a great impact on figuring out the Toxic Shock Syndrome epidemic we had about 25 years ago in the United States.) She put me on a regime of a betadine soak of the ulcers. 20 minutes twice a day we applied a guaze pad soaked with betadine to the ulcers. My ulcers then and since have been extreamly responsive to this treatment. I also believe that diet is a key player in the cause of the ulcers. I try to keep a simple diet of protiens in the mornings and lettuces and legumes in the evenings. It seem to me that when i stray, ie go on vacations and eat what the many good foods of the world, that is the time i seem to develop problems like ulcers. back on the simple diet, things clear up for me. hope this helps. Consult with your Doctor! Dan dangayle at shopridleys.com

Untitled Re: Cleansing of chronic foot ulcers - (Martin Fox) Date: 2002, Feb 07 From: brispark

when will people like Mr Fox learn!! There is tonnes of research about the quality of tap water and how it is as effective as saline in wound care, If it was that full of bacteria then what does he drink, have you never heard of commensals

bathing leg ulcers Re: Cleansing of chronic foot ulcers - (Martin Fox) Date: 2003, Mar 18 From: Max

As you are all aware there is bucket loads documented on the use of washing legs in tap water as opposed to n.saline, but does anyone know of any research regarding whether we should avoid soaking leg ulcers and just cleanse or vise versa? Currently i am researching this as part of the tissue viability module, any suggestions warmly welcomed. Thanks.

response Re: bathing leg ulcers - (Max) Date: 2003, Apr 30 From: sharon

"Wahing" any ulcer/wound causes the removal of important growth factors and disturbs the work of the macrophages and fibroblasts. Washing should occur only if there is evidence of infection, then only once with an antimicrobial ie: Dakins, betadine etc. Venous ulcers should not be soaked or whirlpooled-they are already wet- and compromised.

Date: 2001, Aug 28 From: <Anonymous>

swollen feet Date: 2001, Sep 01 From: <bruce_13215 at yahoo.com>

My brother has enormous feet, due to swelling. He normally wore size 13 1/2 shoe. He cannot wear any socks or tie his shoes at present. I am looking for store that would sell size 14 extra, extra wide shoes before winter sets in. Jay

Untitled Re: swollen feet - Date: 2001, Sep 05 From: Belinda Ihaka

Jay, does your brother know the reason for the swelling? The best time to shop for shoes is in the afternoon as the foot would have swelled to its maximal, but if he is increasing in shoe sizes so frequently, he may benefit from visiting an independant shoe maker (hospital or otherwise) to have shoes specially made - if he is happy to purchase shoes, it would be better for him to avoid moccassin type shoes, and look for those with laces or straps. Regards, Belinda Ihaka.

SWOLLEN FEET Re: swollen feet - Date: 2001, Sep 11 From: <Anonymous>

You can search under COPERNIC and enter "large shoes" or "orthopaedic" in the box. You will find lots of sites.

SWOLLEN FOOT Re: SWOLLEN FEET - Date: 2003, Mar 24 From: johnny

PLEASE HELP! I have a severely swollen left foot for over a week now. it did go down a little. It came on all of a sudden one night right before bed. i woke up and couldnt even walk for hours it hurt so bad. if i touched the ankle, i screamed. i did nothing unusual that i know of to cause this. then a few days later, my right foot swelled up a little, now thats completely down. Im 28yr white male. Im taking uva ursi and other herbs to relieve the water in my foot. please, any ideas on what to do? I may go to the emergency room tonight. if anyone is a MD or would just like to see a picture of it, i can send one to you. just contact usa at hush.com thank you, and please help! Johnny ps, i just found this forum, so if i cant get back to it for some reason to read any answers from you all, i would like if you could also send the answer via e-mail. thanks again.

swollen left foot Re: SWOLLEN FOOT - (johnny) Date: 2003, Jul 15 From: Debra

My left foot swoll up almost three years ago. I remember just sitting on the bed and all of a sudden a sharp pain shot up my foot. I awoke the next morning with a swollen foot. I have been to three different MD's and no one has been able to help me. I'm still suffering with this swollen foot and a stiffness in my ankle and leg. If anyone knows of anything that may be of some help. Please e-mail me. I would greatly appreciate all the input and help. It has been so frustrating. Thanks.

Big Foot Re: SWOLLEN FOOT - (johnny) Date: 2003, Sep 12 From: Gayle

I am not an athlete, nor do I have enough money to see a doctor about this. My right foot has gotten so swollen it won't fit in any of my shoes. This has been going on for almost a month now. I don't remember hurting it in any way. It stays real swollen for about a week, and then it goes back to almost normal for a few days, and then the swelling comes back again. It won't go away. My previous medical history reads that I have a brain injury from 1993. Would this be a reaction from that? 10 years later? If you can give me any helpful hints on where this is coming from and how to get rid of it, I would be forever greatful. Thank you.

SWOLLEN FEET CAUSE? TREATMENT? Re: SWOLLEN FOOT - (johnny) Date: 2004, Feb 06 From: DANIEL

71 YEAR OLD MALE, W CHARCOT MARIE TOOTH DISORDER, NOTICED SOME SWELLING 2 WEEKS AGO. HAS GOTTEN WORSE. NEVER HAD BEFORE. NO PAIN. DISCOMFORT PUTTING SHOES ON. HAVE BEEN INACTIVE PAST THREE WEEKS. SEDENTERY DUE TO NYC ICE AND COLD. HAVE NOT BEEN WORKING OUT DUE TO PAIN IN TAILBONE FROM FALL IN GYM. COULD INACTIVITY AND FALL BE CAUSE OF SWELLING IN FEET?? ALL THOUGHTS AND IDEAs re cause and treatment appreciated. Thank you. Daniel New York City

swollen feet with sores Re: SWOLLEN FEET CAUSE? TREATMENT? - (DANIEL ) Date: Jun 27, 06:26 From: bjweaver

I am a 57 year old woman with diabetes. I joined a gym to attend water aerobics due to being handicapped with severe disc disease and arthritis. I have a implanted morphine pump. I rubbed two blisters which are located on both big toes. I have been treated by my doctors with antibotics and very expensive ointments. My back doctor felt that a bacteria had gotten into my sores from walking around the gym on that first time without shoes. I since got swim shoes. The sores appeared to heal. Now, after getting them well, they have re-opened and both feet are severely swollen. I went back on a very strong antibotic and started using the ointment again. The sore on one foot does seem to be responding to treatment. I have stopped going to the gym until which time I can get this problem resolved. I have tried sleeping with my legs elivated as well as when I am awake. I am really scared. Someone help me please.

lymphoedema Re: SWOLLEN FOOT - (johnny) Date: May 20, 14:44 From: <Anonymous>

currently suffering witha swollen foot myself, only thing i seem to be able to related it to is an article on lymphoedema http://www.nhsdirect.nhs.uk/enr.asp?TopicID=294&AreaID=271&LinkID=294 hope this is some help to you

Re: SWOLLEN FEET - Date: 2003, Mar 24 From: <Anonymous>

Re: SWOLLEN FEET - Date: 2003, Mar 26 From: <Anonymous>

Swollen Feet Re: SWOLLEN FEET - Date: 2003, Apr 05 From: Barbara Hobbs

My Doctor told me to walk 3 times a day 30 minutes at time.More I walk the more my feet swollen

swollen feet Re: Swollen Feet - (Barbara Hobbs) Date: 2003, Aug 01 From: <mharris745 at aol.com>

My husband has mild to moderate CHF (congestive heart failure). His feet are swollen. Dr. Gave him more diruretics but they really upset him.( gas, Cough) He takes 2o mg of lasix and 12mg of captopril broken in half a day. What else will stop the swelling? Help he's miserable. Martha

Swallen feet like shrek Re: Swollen Feet - (Barbara Hobbs) Date: 2003, Aug 28 From: Kandis

My feet started to swell,by the next morning they looked like shrek feet,extremly painfull,and only just able to walk on them-I went to a doctor he said he did'nt no the cause for this,I had done nothing out of the norm no bites no new shoes just happened ?? What to do ?Within 2 days they had started to go down ..still no idea of why,today they are strating to swell again.I am 43 fit no illness female smoker live in North Australia

shrek feet Re: Swallen feet like shrek - (Kandis) Date: 2003, Aug 31 From: Jim Greene

Have you been tested for diabetes? I was 5 years ago and still suffer from what your discribing. My sugar is under control but like you said it shows up, stays a day or two then gos away for sometimes two weeks sometimes two months but it comes back. If you never had it checked do so diabetes is nothing to fool with. JIM

Re: SWOLLEN FEET - Date: 2003, Apr 11 From: <Anonymous>

my feet are bloody abnormal Re: swollen feet - Date: 2003, Jun 02 From: big foot

i have been in quarantine for most of my life , my feet cause big problems for my social life not that i have one . its just that my feet are weird i have even been on mingers .com . my kids think my feet are highly amusing they me think im a stick with wale feet wot am i to do?

Swollen feet and knees Re: swollen feet - Date: 2003, Aug 26 From: Carole

Several weeks ago My right foot became enormously swollen my knees became painful. 2wks later my husband came down with the same symptoms 2wks later my granddaughter came down with exactly the same symptoms.My husband's doctor diagnosed him as having gout. I really doubt it because he is on a fat free diet. HE EATS NO MEAT.Is there any weird virus going around?

MY Swollen Feet Re: swollen feet - Date: 2003, Oct 22 From: <azhora at earthlink.net>

I read here many complaints about swollen feet but hardly any answers. Does anybody know anything about this subject? I am a 65 yr old female and generally healthy. At the moment I have no health insurance and can't afford seeing a specialist. My feet are usually narrow and bony, but for many years they would get swollen occassionally, usually after a flight. It's painless and goes away within a few days. I have no idea what it is about a flight that would cause this swelling. Does anybody? I have lived over the years in different places with various climates, and it seems that the swelling of my feet is not related to climate. In the last year my feet became mildly swollen most of the time, not as a result of a flight, and in the last few days the situation has become worse, as I cannot wear my shoes. It does not seem to go away. It's almost painless, but I have a mild sensation of pressure and some tingling and stiffness. My questions are: 1. What causes such swelling? 2. Is it dangerous in any way? Should I be alarmed and seek treatment? 3. Is there any known treatment? Would appreciate ANSWERS or any advice. Please forward your email to azhora at earthlink.net

Does transfer technique of sterile cotton wool ball better than direct technique in wound swabbing? Date: 2001, Sep 02 From: Marcus Ng

Date: 2001, Sep 03 From: <Anonymous>

RN ( whirlpool as an accepted modality for wound care) Date: 2001, Sep 04 From: Artie Erwin

Our Wound Services Dept is building a case justification for not offering whirlpool therapy as a current acceptable modality for wound care. Is there literature to support this claim?

Date: 2001, Sep 10 From: <Anonymous>

vasculitic ulcers, information required please Date: 2001, Sep 17 From: L.Cocks

I'm having trouble getting information on vasculitic leg ulcers, what causes them? how are they diagnosed? what to avoid when dealing with them how are they treated? I would much appreciate any text references on the above topic also, thanking you in anticipation.

management of overgranulating wounds Date: 2001, Sep 18 From: <hlambert at bradford-ha.nhs.uk>

We want to know if anybody else has information about the care of overgranulating wounds.we are looking for evidence of which product is most effective in the treatment of those wounds at home in a community setting.we look forward to your reply.

Autoclaving proflavine cream Date: 2001, Sep 19 From: jayne price

Theatres at my hospital have been mixing proflavine cream with packing and then autoclaving to sterilise. They then use this for burns and plastic surgery patients. Has any one got any information on this ?

Open Plexiform Tumor in left leg. Date: 2001, Sep 23 From: <Anonymous>

Hello , I am a 44 year old female with Neurofibromatosis type 1. 10 and 1/2 years ago I had a Plexiform Neurofibroma Open up in back of my left leg. It will Not heal because the huge tumor resides there , and it is too large to remove. This open site will not heal. I even under went Hyperbaric Chamber Thearpy and it was unsucessfull. This open skin site is Extremely Painfull. Getting it wet in the bath tub feels like someone poured gasoline on my bare leg. I need something to numb the skin so I can't feel the pain and burning sensation it emits. I have tried topical Lidocaine and that doesn't do anything. I have tried over the counter products. Nothing works. My doctor cannot think of anything to use on my leg. I asked if I could use "Ethyl Chloride" and he said No because it would damage my skin. My leg is so bad off , I doubt it would matter anymore. Can anyone think of anything I could use to numb the skin so it doesn't burn like fire ? It is so bad , my doctor has me on 100 mg's of Demerol 3 times aday. (Plus I have spinal tumors and leak spinal fluid ) I am a real mess and need some relief for the burning in my leg. Can anyone Help ?? Thanks , Glenda

Date: 2001, Sep 29 From: <Anonymous>

Gastrostomy tubes Date: 2001, Oct 04 From: <nrollins at heinzerling.org>

Caring for a profoundly retarded individual with medical involvement. Currently dealing with problems of leakage and wound care with his peristomal area. Site needs surgical revision however this is not an option. Has the Silastic Foam ever been used for this type of treatment? He can expel a 30Fr., 30 cc ballooned gastrostomy tube by intraabdominal pressure. Thinking is if we can get the leakage stopped and the tube stabilized, we might get somewhere. Other treatment modalities suggested by ET nurses have been tried with short termed success.

tap water versus saline in cleansing leg ulcers Date: 2001, Oct 10 From: pete

We received an email from Sandy Clayton as follows: -------------------------------- I am a Student Nurse, in my second year, i am currently trying to complete a project , which is a "research critique", the subject is as above, have you any research or evidence based information which would help me in this research critique. I would be greatful for any information that you could supply. Many Thanks, Sincerely Sandy Clayton email: csandylou at aol.com -------------------------------- Any thoughts ? Pete

leg ulcer cleansing Re: tap water versus saline in cleansing leg ulcers - Date: 2001, Oct 12 From: lindac

hello sandy, I'm a district nurse and our normal practice is to clean leg ulcers with tap water in our area, we don't have an infection problem and psychologically it gives the client a boost as they feel "clean", swabbing just moves any bugs around to different areas in the wound, whereas, if you clean them under warm running water the wound doesn't get cold and the bugs are flushed away cheers lindac.

TAP WATER VERSUS SALINE Re: tap water versus saline in cleansing leg ulcers - Date: 2001, Nov 17 From: <Anonymous>

I used to attend an ulcer clinic and picked up a very nice bug there. They used to dunk my foot (without asking if I had recently washed it!) into a bucket of warm tap water and everyone knows that whereas cold tap water is safe warm water from a tank is definitely NOT. Months later I am still bug ridden and have to keep taking anti-biotics. I do not recommend warm water unless it has been boiled first.

Gout Tophi Date: 2001, Oct 16 From: Tina Chambers

I have a patient with gout tophi on his fingers and toes, he has open wounds with the deposits of urates visable in the wounds. This presents as dry crystals. Has anybody advice on how I can remove these deposits as these wounds will not heal with them in place ? The GP advises scraping it out - is there a more gentle approach ? Perhaps a chemical solution?

Re: Gout trophi Re: Gout Tophi - (Tina Chambers) Date: Aug 17, 00:37 From: Mez

I too have a man who has open wounds with gout trophi in them. I am still searching for a non-surgical method of debriding these crystals. Any suggestions please forward them to my email address, muchly appreciated

wound healing video Date: 2001, Oct 18 From: kerstie metcalf

I am looking for a video which shows the wound healing process-does anyone know if such a thing exists and if so where I can get it from?

N I C E debriding guideline-gauze dressings Date: 2001, Oct 18 From: kerstie

In the nice guidelines it discusses using gauze directly on wound beds, sometimes, to encourage healing. Does anyone still advocate this?

overgranulating wounds Date: 2001, Oct 20 From: mandy

How to manage large overgranulating highly exudating wounds?

Untitled Re: overgranulating wounds - (mandy) Date: 2001, Nov 29 From: <Michaela.Arrowsmith at ubht.swest.nhs.uk>

In my experience, Allevyn hydrocellular is an excellent way of reducing the hypergranulation and managing exdate. If the tissue is not infected leave the dreessing insitu for up to 5 days and the hypergranulation should be resolved with little disruption for the patient

overgranulation Re: Untitled - Date: 2002, Jan 22 From: lesleys

i have worked with burns & plastic patients for a number of years, and when wounds are overgranulated we have used terracortril cream ( steroid and oxytetracicllin) we use it for 3-4 dressing changes and the over granulation is reduced.This is not a licenced drug for open wounds, and has to be perscribed. the other option is to apply topical negative pressure therapy for a few days,this will remove any coloisation that is in the granu;ation tissue, it will also remove any odema that is around the wound and improve the blood supply. all only suggestions

small overgranulation Re: overgranulating wounds - (mandy) Date: 2002, Feb 03 From: Cathy

I am researching the treatment of overgranulating wounds, unusually small wounds, eg granulomas to finger tip wounds etc, these are small but can be very troublesome, sometimes requiring many clinic visits to treat. Treatment appears to be 3 options: silver nitrate, steroid cream, pressure dressing. Does any body have evidence based reasearch regarding efficacy of these or other treatments ?

wound documentation Date: 2001, Oct 23 From: lindac

I've been given the task of reviewing our wound care charts, they've got to be suitable across all areas,i.e. hostel, acute, community and nursing home, and it's got to be user friendly! so I'd like to find out what others are doing, examples would be great if at all possible, also literature about the above would be welcome cheers lindac

Multiple Fragmentation Wound Date: 2001, Oct 26 From: Eric

What is a Multiple Fragmentation Wound. Please send me info at eric_defoe87 at hotmail.com. Thanks

VAC pump articles Date: 2001, Oct 28 From: jacqueline summers

Hi, does any one out there have or know where I can get my hands on any articles/reasearch about vac pumps, or any other info about them. Please email me with the details. I have a good one from world wide wounds and I am finding it difficult to find more All help greatly appreciated jackie

KCI's VAC Literature Web Page Re: VAC pump articles - (jacqueline summers) Date: 2001, Nov 07 From: Rand

http://www.kci1.com/vac_articles.html

VAC pump articles Re: VAC pump articles - (jacqueline summers) Date: 2001, Dec 02 From: Louise

I've found some useful information regarding the vac pump at the Ted Yeoman-Wound care web site. Hope this is relevant to your needs. Regards louise

Maggots in a bag Date: 2001, Nov 05 From: Andrea Graham

Can anyone tell me how maggots in a bag work (BioBags) I am a user of larvae and find when they are 'loose' they will seek and find necrotic/sloughy tissue especially in a cavity or sinus.

Calcium Alginates and Haemostasis Date: 2001, Nov 08 From: <kburnett at medau.jnj.com>

I require information on how alginates cause haemostasis, and the ratios of guluronic/mannuronic and calcium/sodium ions and how this affects haemostasis and absorption.

Use of sterile gloves for wound dressings Date: 2001, Nov 11 From: Ann Carey

I am looking for some evidence based practice on the use of sterile gloves when undertaking wound dressings. There is an argument to says that sterile gloves should be used all the time while others argue that clean gloves are appropriate

Effective cure for Keloid Date: 2001, Nov 12 From: R Parikh

I am searching for an effective cure for Keloid scars (a mass of skin and muscles and nerves)as diagnosed by the doctor. The scar was developed 15 years ago on the shoulder, when boiling water fell on the shoulder. The scar pains during winters. I would be ghrateful, if someone has a remedy for this pain and also for clearing the Scar. regards

help Re: Effective cure for Keloid - (R Parikh) Date: 2002, May 01 From: <Anonymous>

i have a keloid ever since a did an ear surgery to bring my ears closer to my hear now i have a keloid. i ccant put my hair up i am constantly being teased at school . im 14 years old . i wish for a cure.please help me please

kelloid!!! Re: help - Date: 2003, May 16 From: Lady

i have a kelloid scar on my left arm, which i've gotten from a injection/vacination in the philippines. is there any cure for it. some doctors said having a surgery of some type will make it even worst. please help me. thanks

HELP PLEASE!!!! Re: kelloid!!! - (Lady ) Date: 2003, May 29 From: desperategirl

Hi. Hey lady, guess what? I had a vaccination in the Philippines, too, back when i was, i think, in first grade. It got so big and became a keloid scar. Then when i was in sixth grade i had it surgically removed hoping that it would work out. But, the incision that they made after removing the scar became a much bigger, longer and uglier scar!!! I'm so depressed. I can't wear sleeveless shirts, tube tops, halter tops or swimsuits! Meeting new people is hard because I'm not sure if they are going to be ablt to accept me with a big, ugly scar like this. Recently, i've been getting steroid shots on the keloid. They are very, very painful, but the scra got noticeably flatter, and smoother. But it still is very prominent, discolored and ugly. Please, if anyone out there is reading all of our messages and has any knowledge on how to treat keloid scars, PLEASE REPLY TO US! WE NEED YOUR HELP! PLEASE! THANK YOU!

Help with keloid problem Re: HELP PLEASE!!!! - Date: 2003, Sep 16 From: John Dwyer

If you find help for your keyloid please let me know. My daughter has a keloid right in the center of her chest. This thing looks really bad. I want her to have a normal life. Girls hate high cut neck lines. She won't even ware a swim suit. Please help if you know anything. anndwyer at wi.rr.com

Untitled Re: Help with keloid problem - (John Dwyer) Date: 2003, Dec 26 From: <Anonymous>

I also have a keloid on my chest that is very painful. I tried the shot for 2 years but with no results and they were very painful. I had it removed and it came back twice the size. I am going to have it removed again and will have radiation treatment. I will let you know if this works. My prayers are with her I know the pain she is going through.

possible treatment Re: Untitled - Date: 2004, Jan 07 From: Jess

I have a keloid in the centre of my chest. I'm 20 and want to wear nice low cut tops but i feel really self conscious. I had the injection once but it was so painful I was reluctant to keep at it, especially as it didn't have much effect. I have just been perscribed haelan tape which has the same stuff in it as the injections but you just press it down oveer the scar for 12 hrs a day. I'm told it might take a while, but I will let you know if I see any results.

Great news for keloid treatment. Re: HELP PLEASE!!!! - Date: Aug 01, 03:21 From: relli zulueta

email me at relli9 at yahoo.com I had a keloid too back in philippines when I was in 2nd grade elementary, it never bother me except that it itch so much that I wanted to just cut it with a knife......but somehow I get used to it and only when I had an accident on my chest that the wound becomes another keloid, that's the thing that made me search for a cure on it. Finally, I had tested it on myself and wanted to share to all people there who are suffering from keloids.

What is this cure? Re: Great news for keloid treatment. - (relli zulueta) Date: Sep 07, 04:41 From: <Anonymous>

Please share what this cure is.....

using silicon Re: kelloid!!! - (Lady ) Date: 2003, Jul 20 From: Denise

Hi I think you can find some good cures using silicon sheets. Been using them for a long time to control my keloids. I have prolific keloids that just grows and grows over my body. The sheets help me to stop new ones as well as reduce the size of the existing ones. The cheapest sheets you can get off the web is at www.thejamushop.com. The prices helps me to use it for months now. And I am quite happy with it. Rgds Denise

kelloid Re: kelloid!!! - (Lady ) Date: 2004, Feb 23 From: <Anonymous>

is it possible to get a kelloid on your nose?

KILL THE KELLOIDS Re: kelloid!!! - (Lady ) Date: 2004, Mar 11 From: el shaddai

FOR MANY YEARS I SUFFERED FROM THESE DISGUSTING SCARS ON MY CHEST CALLED KELLOIDS. BUT TODAY I CAN TELL U PEOPLE THAT THE IS HOPE OUT THERE, THIS HOPE IS ALOT OFF PRAYER AND A CERTAIN TAPE CALLED HAELAN TAPE (TYPHRAM). IT TAKES AWAY THE SCAR WITHIN A MOUTH SOMETIMES LONGER,BUT THE GREAT THING ABOUT THIS IS THAT THEY NEVER RETURN (OR SO FAR HAVEN'T RETURN AND IT BEEN 1YEAR NOW. PLEASE SUFFER NO MORE GO AND CHECK THIS OUT! Ps: I'M IN THE UK BUT I HOPE YOU CAN GET IT WHERE YOU GUYS ARE FROM.

thanks for the info Re: KILL THE KELLOIDS - (el shaddai) Date: 2004, Mar 16 From: <Anonymous>

Do you need a prescribion to get to!!

I need to find a bathing suite to cover my keilod Re: kelloid!!! - (Lady ) Date: Apr 21, 23:09 From: Krystal

I am 18 turning 19 and I had surgery for a disorder known as Maysneia Gravis(SP), and to scar formed a keloid on my cest and I can't wear low shirts, and I can't find a swim suite. The scar looks like a smily face, but I'm not smiling. I have so many problems to be worrying about as far as my health I wish this one would go away.

I CAN'T WEAR A THONG BECAUSE OF MY KELOIDS!!! Re: I need to find a bathing suite to cover my keilod - (Krystal) Date: May 10, 21:25 From: <maryjill at yahoo.com>

I'm 21 years of age and I have a keloids almost every part of my body. Is there a cure for all of these? I have been with these problem since I was 13 years old. I easily got keloids like if I scratch myself into something. I have a lot of those in my BUTT and it's as big as a dime and some are just like a dot of a pentel pen. What will I do? I read some articles who had a surgery about it. Why it's so expensive to remove just 1? I'd asked some dermatologist and they almost had the same prices. How can i afford to have such operation since i have a lot starting from my legs all the way to my BUTT! I'm insecure to others who can wear two piece. I'm so skinny but i think it's useless because i can't even wear a plain swim suit if i go swimming.... HELP!!! I'm ASIAN!!! thanks!! Do you know someone who knows how to remove keloids that doesn't charge that BIG just for ONE?

I CANT WEAR ATHONG BECOZ OF AKELOID Re: I CAN'T WEAR A THONG BECAUSE OF MY KELOIDS!!! - Date: Sep 30, 13:59 From: Angie

Hi i cant wear athong or abathing suit becoz of a keloid.i developed it after using my dad shaver to shave my pubic hair.now its soo big like asmall penis.wat can i do?is there a cure?

kelloid Re: kelloid!!! - (Lady ) Date: May 07, 08:22 From: <Anonymous>

I have had kelloids since i was 12 . I have one on my hand from a jab and i had two really big ones in my ears from piercing when i was twelve years. i had them removed by a surgeon when i was 14 but they recurred and got even worse this made my life in high school really miserable i was the geek. my brother who is a doctor looked for ideas from his colleagues and he operated on me himself (i was 18 and due for university that year)he had been advised to take me for radiation within 24hrs after the operation.After the wound healed i was advised to wear clip on earrings to give it some presssure they have not recurred since 12 years later.  Three years ago i had a baby and unfortunately i had a caeserian operation i had talked to my doctor thru out the pregnancy about the scar developing into a kelloid so immediately after the operation he injected me with a steroid and after, i was given a cream called contractubex after a few months i was put on another cream dermovate they are all steroid creams.the scar still formed but it is not as hideous as i know it would have been and at least it is not growing!!!!   i think i will try the idea if the silicon tapes and the haelan tape to try and reduce the ones i have. i have also learnt that prevention is better than cure as soon as you get the scar put it on treatment right away don't give it time to grow.

Untitled Re: help - Date: 2003, Jun 04 From: Vincent

I understand. I have pretty bad keloids across my jaw. been using some Chinese medicine, works pretty well, flattend about 70% in about 2 months. You can take a look at the www.thejamushop.com Hope this helps. It can be cured, don't worry. The earlier the better, also don't inject it Vincent

Untitled Re: Untitled - (Vincent) Date: 2004, Mar 31 From: Mei

I had my vaccination as well in the Philipines and I end up having keloid,I tried the steroid injection and find it helpful but very inconvenient. I had laser surgery in the philippines which cost me less than $200.00 US dollars, it came back and this time it gets bigger. I'm seeing a dermatologist in England and they put me on steroid cream for 5 months which didn't help at all. I have an appointment in 5 weeks time for biopsy. If I get a little bit more impatient I might re-consider seeing a private cosmetic surgeon. I'll keep you updated regarding my progress.

keloids Re: help - Date: 2003, Aug 05 From: <mrsjenniferbanks at aol.com>

I'VE BEEN HEARING ABOUT THIS CHINESE MEDICINE FROM SOMTHING CALLED THE JAMU SHOP FOR SCAR & KELOIDS WHAT EXACTLY IS THE REAL NAME OF THE PRODUCT SOUNDS GREAT PLEASE WRITE ME BACK PERSONALLY A.S.A.P. THANKS

Annoying Keloid Re: keloids - Date: 2003, Aug 06 From: Cyan

I have my keloid for more than ten years, and recently keep on inflame, it is so annoying and did affect my job and personal life, cause sometime I can't go to sleep due to painfulness, long time ago I've been using Silicon sheet, for I got a big keloid and found that it doesn't work well after few days use, then I stop using it due to my impatient, having learnt that Jamushop website have similiar product, would like to have a try, my question is it shn be Singapore website, for I live in Hong kong, from where can I get their product, ANYONE Can help???

Untitled Re: Annoying Keloid - (Cyan) Date: 2004, Jan 02 From: <Anonymous>

Yeah, my keloids hurt pretty bad after shellfish. Stay away from them. silicon sheets works to control and keep the keloids small, that's about it . But I think that is already quite good, fearing that keloids can grow and grow. It also stop the pain and itch. But I prefer to combine with the Mili Ointment at www.thejamushop.com Just go to their website and order. Its one of the cheapest in the market.

Untitled Re: keloids - Date: 2003, Aug 21 From: Jacquelyn

I just ordered the package from The Jamu Shop. They suggested a combination of silicon sheets and a Chinese creme with fruits by-products. it works on some of my scars quite quickly but not all. It seems to work best on facial scars. I used the silicon sheet from them too. Don't know the result if I used either one alone. But so far, I am pleased. You can check them out at www.thejamushop.com

Chinese ointment Re: keloids - Date: 2003, Aug 21 From: <Anonymous>

been using Chinese ointment for weeks now. It works well but not too significant in the beginning. But I combined it with the silicon sheet and it accelerated the skin lightening and reduction. Don't know how it works but the ointment makes it feel like it is dissolving the collagen.

Chinese remedy for Keloid Re: Chinese ointment - Date: 2003, Aug 28 From: Matt

Where can I get or look into the Chinese ointment that helped you so much?

experience on keloid treatment Re: Chinese ointment - Date: 2003, Sep 21 From: kylee

hv been seaching for a cure on my keloid scar which has grown tremendously over 15 years. hv exhaust all possible way except surgery. my experiece..... 1. take all your jabs on the fleshiest spot eg. gluteus. the deeper the needle, the less likely u will develope keloid as keloid only react with the sufaces of your skin. 2. in the event that the doctor prescribe corticosteriods eg. triamcinolone acetonide, make sure that it is not more than 6 dosage. by the 6th dosage, if is not healed it means it is not working for you. excessive dosage (fr per sonal exp) leads to hair loss, extreme photosensitivity, abnormal heart rate. 3. refrain from all type of shell fish esp prawns and crabs. no scientific or medical proof but after each meal of prawn, keloid scar tends to be painful. 4. silicone sheet and silicone gel do not work at all! 5. laser treatment....hv yet to try...

What is the ointment called? Re: Chinese ointment - Date: 2004, Jan 29 From: <redbull1311 at yahoo.com>

What is the name of this ointment? And where can you get some? Much Thanks

Chinese Hei Ba Gao Re: What is the ointment called? - Date: 2004, Feb 21 From: Melanie

You can get the ointment at www.thejamushop.com. I prefer the Hei Ba Gao than the Mili as my keloids are already quite old. The Hei Ba Gao really impresses me. The keloid on my chest is now about 50% flatter after about a month of use. The Mili is more for younger keloids so go for the Hei Ba Gao. It removes the terrible keloid itch and pain. It feels so much better now. My only hope is that by sustained usage, I can shrink it further.

Chinese Hei Ba Gao Re: What is the ointment called? - Date: 2004, Feb 21 From: Melanie

You can get the ointment at thejamushop.com. I prefer the Hei Ba Gao than the Mili as my keloids are already quite old. The Hei Ba Gao really impresses me. The keloid on my chest is now about 50% flatter after about a month of use. The Mili is more for younger keloids so go for the Hei Ba Gao. It removes the terrible keloid itch and pain. It feels so much better now. My only hope is that by sustained usage, I can shrink it further.

what happens if u stop using the cream? Re: Chinese Hei Ba Gao - (Melanie ) Date: 2004, Mar 16 From: Andy N

hello, i've had keoids since i was young, it has hurt me emotionaly as well as physicaly. i love sports and swimming but i cannot bear to show my keloids on my chest, im scared of meeting girls aswell incase they see it and run screaming, some hav done, it was the worst feeling in my life, felt like i could die. recently i've started to read more about this disability that i have. and this cream seems to be evective from what i've heard since i'm chinese i also have great trust in chinese herbal treatment, but i just wanna know that if you use the chinese cream and the keloids do shrink down even a little. if you stop using it for a while will they start growing back? and will this cream be a very long term treatment. i come from a poor family so we cannot afford treatment for long long term. if shrunk will it stay that way even without the treatment.. please help desperate inpain soul

quo vadis.......Hei ba gao? Re: what happens if u stop using the cream? - (Andy N) Date: 2004, Mar 27 From: reddK

It was in this forum where I learned about these Chinese medicines and so I tried them.As they previously said, the Mili and Dawan ointment didnt work for me--mine is an old keloid(chest area) and so I was told to use the Hei ba gao alone, night and day.It's almost 3 weeks and I dont really know if it is working for me.After I removed the old paste to clean my keloid and put the next dose of paste, there is considerable change in the color of the keloid to pink but thru out the day when it's hot and humid, I feel pain and it itches and becomes red again.True, my keloid flattened a little but it didnt stop it from spreading out.(How'd I know?--I measured it!)I WANT MY KELOID TO STOP GROWING!They told me that old keloids need longer period of treatment and maintenance there after, until the keloid is dead!(when it approximates the color of your normal skin)So, are you asking me if I still use Hei ba gao? I am and will continue to use it until the bottle is empty and from there I will assess if it really works!Keloids can really be stubborn.So far I've already tried steroid injections and silicone sheets.No luck!But I'll tell you one thing,the location is very crucial.Chest area is the most stubborn of all.Keloids on my tummy and arm are now all DEAD!:)

black paste Re: what happens if u stop using the cream? - (Andy N) Date: 2004, Mar 27 From: Kymie

so far, i do not see my keloid growingback. Am still using it though. Quite happy I must say. I mean, what can we expect. Keloids are incurable! I am happy that it is quite flat and i don't think it will come back. anyway, i asked the jamushop and they told me if it comes back, just apply once a few days to maintain it. they say as long as i dun eat shellfish, it should be fine..

shellfish/Chinese cream Re: black paste - (Kymie) Date: Jul 13, 21:07 From: Cindy

Hey, you said the guy at the shop said as long as you sont eat shellfish, how does this come in to play. Thanks CINDY

Side effects of chinese ointment? Re: Chinese ointment - Date: Jul 20, 18:56 From: nslzs

After seeing the recommendation here, I bought the Hei Ba GAo for my dad for his keloid on the chest. I want to ask fellow users:Do you experience any side effects of this ointment? It did help lighten the keloid, but my dad has been experiencing pain and itch since using it. Red rashes develop around the keloid, and the pain of the keloid and itch of the rash can be quite severe. After he washes it off, looks like the skin is broken , and fluid comes out of it. It can heal in a couple of days. Is this normal? A necessary part of the healing process? Should he go on using it? Fellow users, please help. Your feedback is important to me and my dad. Thanks.

Hei Ba Gao Re: keloids - Date: 2004, Feb 21 From: Bob

I think the Hei Ba Gao works better. My keloid did nt orepsond much to the Mili. I asked the folks why and they told me its because the Mili works better for hypertropic scars. You should use the Hei Ba Gao if you have keloids but you gotta be patient.

Untitled Re: help - Date: 2004, Jan 06 From: paula

I started getting keyloid scars about 11 years ago.They are on my chest boobs and shoulders.They are over an inch long they are really painful and ithchy at times.Ive had steroid injections and tried the cica care pads.and nothing.My doctors down here say that they won't do any more for me.So for the last 4 years ive been on anti depresents.I want to cut them out with a razor.they ruin my life.I hate people touching me.I hate being intermate with anyone incase they see them.I don't swim anymore and I can't wear nice tops as I will not reveal them.Im fair skinned 27 years and am going spare.Please please help.

keloid cure Re: Untitled - (paula) Date: 2004, Feb 21 From: Elizabeth

I know how you feel honey. It was terrible for me too. Keloids cannot be removed, it will always be there but we can flatten it and make it less conspicuous. I have been using the Hei Ba Gao for a whiel and I think it works for me. The keloids have stopped spreading and is now a small raised mark compared to that hideous octopus-like monster I used to have on my chest. i can't cry as I my ears have dried up long ago. I have begun to accept that we cannot get rid of them, we must control them. I hope it will work for you too. I figured the best thingis that it is cheap. I spent tons of money for nothing in the past until I found www.thejamushop.com. Some kind soul introduced me to it. It's not the end of the world. Looking in the mirror now, I realized it is not that bad.

Keloid homepage Re: help - Date: 2004, Jan 08 From: Anders

http://www.keloid-scars.com/

worthy Re: Effective cure for Keloid - (R Parikh) Date: 2002, May 01 From: Arif

There is a new effective therapy suggested for keloid and Hypertrophic scars. This is a cream or ointment containing TECA or TTFCA (Titrated Extract of Centella Asiatica or Total Triterpenic Fractions of Centella Asiatica), which is available in India as Centis Cream. Infact a keloid takes a long time to change so a long time administration is required. But relief from some symptoms like pain and inflammation can be obtained with in a short period of usage.

Keloid Scar from Vaccination Re: Effective cure for Keloid - (R Parikh) Date: 2002, Sep 16 From: <nabz321 at hotmail.com>

I have a keloid scar on the top of my left arm. I got it from a vaccine injection I was given when I was a child.It's so itchy, irritating and ugly. Sometimes it wakes me up at night. I don't know what to do to cure it. Is there any cure for it?

Untitled Re: Keloid Scar from Vaccination - Date: Sep 21, 12:42 From: lanie

ihave a kelloids in my breast what are we going to do?

kiloed problem and quare it Re: Keloid Scar from Vaccination - Date: Oct 13, 13:01 From: uday dave

dear sir, i am 38 year old. i have kiloed on my chest since 10 years. i have taken vacine injection, and used presser belt also now i am use a cream " NORMJEL" FROM LAST SIX MONTH but not iffective. pleas give me your suggestion.

keloid clinics Re: Effective cure for Keloid - (R Parikh) Date: 2003, Feb 07 From: clutchee1

I seriously need to know if there is a keloid clinic. Iam willing to pay out of my pocket.Please any MD clinic (keloid)number found please e-mail me. Thanks for you time and patients

Cure for Keloid Re: Effective cure for Keloid - (R Parikh) Date: 2003, Apr 07 From: Marleo

During the past 5 years, l have developed about 60 keloid scars on my body. The biggest problem is the fact that these scars are itching very much. this has forced me to leave school and l have also stopped working. Can anyone please help me with any treatment suggestions. Thanks

silicon sheets Re: Cure for Keloid - (Marleo) Date: 2003, Jul 20 From: Michael Paen

Hi Marleo I think the best results I have are the silicon sheets but they are used over long periods of time. Just tried some from www.thejamushop.com, their's a bit different, shown good results in only a few days, but maybe I mixed it with their cream. I like their rock bottom price, that helps me to keep using the silicon sheets, the cheapest I can find. mayeb you can try them, mixing their cream alternately. Michael

keloid Re: Cure for Keloid - (Marleo) Date: 2003, Aug 19 From: alvin

Maam\sir Since i was highschool i have a severe acne in my nose. the scar of acne becomes keloid. what should i do.

Centella Asiatica Re: Cure for Keloid - (Marleo) Date: 2003, Nov 30 From: Andy

Hi all Thank you so much for the kind recommendation for the Jamu Shop. The Centell Asiatica ointment works very well for me. The itch and pain is now gone. It makes my sleep so much more enjoyable. It used to be like hell when I pressed on my keloid when I turned on my side. It has also flatten quite a bit. Love you all. Regards Andy

Hei Ba Gao Re: Centella Asiatica - Date: 2004, Feb 21 From: Felicia

That's right. I used the Centella Asiatica, the Jamu Shopcaled Da Wan with the Hei Ba Gao and I am pleased with the results. My keloid actually got smaller. i am just pleased. At least I have some hope. tried all kinds of other creams and stuff but to no effect. At least the Hei B Gao shows some promise. I think it works better than the Mili but it is up to you to try.

Untitled Re: Centella Asiatica - Date: 2004, Feb 21 From: Jolly

The Centella Asiatica ointment at the Jamu Shop works really well. My keloid is now slightly flatter and less itchy. Used to scratched with madness during the night. Am going to try the Hei Ba Gao as I think the Mili is more for hypertropic scars. Any feedback??

Help with Keloids Re: Effective cure for Keloid - (R Parikh) Date: 2003, Apr 25 From: Pete

My fiancée has suffered from keloid scars for a number of years and is eager to find a cure / means to relieve the pain and inflammation of the scars – any suggestions welcome.

Mili and the Da Wan Re: Help with Keloids - (Pete) Date: 2004, Jan 02 From: <Anonymous>

I can only share my experience. The Mili and Da Wan combination has been helpful in getting rid of the itch and pain, it also seems to be flattening the keloid, albeit at a slow pace. They have other options at www.thejamushop.com. Try a few to see if it helps.

antikeloidal Re: Effective cure for Keloid - (R Parikh) Date: 2003, May 30 From: Arif

A well tested and effective antikeloidal preperation is a topical application,ointment or Cream containing triterpenic fractions of a plant called Centella asiatica (TECA/TTFCA),used by plastic surgeons and dermatologists.Prolonged application is needed. Centis(India),Madecossol(Germany) and Lipotecca(U.S.) are a few known brands of Products.

Untitled Re: Effective cure for Keloid - (R Parikh) Date: 2003, Jun 04 From: Vincent

I guess I am a victim too, but found a good cure at www.thejamushop.com. Been the most effective I have tried so far. Just started using it but it made the sacr smoother and less itch. Quite happy with it. Try it if you can, may help. Just apply a little more. Rgds Vincent

having one removed Re: Effective cure for Keloid - (R Parikh) Date: 2003, Jul 01 From: <brak109 at aol.com>

i am having a keloid removed this month. i have on my upper ear and it has grown over the years and keeps doin so. i am required to wear a pressure earring post-op. but now after reading about about keloids i am not sure it won't come back. my doctor never even explained to me that there was a chance of it coming back. i was just wondering if anyone has had one removed successfully (as in it not coming back). it pretty much sucks, and has made me more of an indoor person as well. so but don't want to pay out the ass for some procedure that isn't gonna do anything...

silicon can help alot Re: having one removed - Date: 2003, Jul 20 From: Alex Willow

Hi I wouldn't advise it. I had my keloid removed and it came back twice the size! These doctors are just irresponsible and out to make money! I swear its the biggest mistake I made. I tried silicon sheets and it worked to reduce my keloid size and helps it to stay that way. Been paying expensive brands for these sheets until someone introduced www.thejamsuhop.com. Tried their cream on my smaller keloids and they worked very well but I used the silicon sheets for the older keloids. The best thing is theirs is the cheapest I can find. Hope this helps. Its better to use them earlier than later as these monsters will keep on growing. Alex

........... Re: Effective cure for Keloid - (R Parikh) Date: 2003, Jul 03 From: Peter

Hi, I used to be very fat when I was a kid, and had a high level of estrogen which caused me to develop breast tissue. So I was told by a doctor that even if I lost all the weight the breast tissue would not go away. I had surgery and developed keloids. My problem is that that was two and a half years ago when I was fifteen, and ever since then I got into weight lifting. I cant stand the way my chest looks, I wont even take off my shirt infront of my girlfriend. Keloids have been the cause of many of my breakups so she knows I'm sensitive about it. Anyways though, the reason I posted this was not to mention a sob story, but because my mom set up an apointment for me with a Dr. Brooks who's a plastic surgeon. He is supposed to be VERY good, he was even on Opera. My appointment is aug 5, 2003. I hope he give's me some good news that I can share with all of you.

keloids Re: Effective cure for Keloid - (R Parikh) Date: 2003, Jul 15 From: Cynthia Jackson

I have had Keloids on my face for the past 15 years, I am now 39 years old and have two children. I am so disgusted with the keloids because they never go away. I look in the mirror and wonder why it had to happen to me. I am now disabled and do not have insurance to pay for surgical removal of them. I was told that there was surgery treated with radiation afterwards that could prevent the return of the keloids but I don't have the money and medicare won't pay for the surgery. Please help me find a way to get treatment for this problem. I am so desperate to get rid of them. I have tried creams and patches but they seem to do nothing for my problem. If there is any doctor out there who would just like to use me for an experiment in removing these nasty, hideous, inflamed keloids. I have low self esteem because they are on my face. They are all over my body, because I have had c-sections, gallbladder removal and other minor surgeries. Someone please help me.

Keloid cure at Jamu Shop Re: keloids - (Cynthia Jackson) Date: 2003, Nov 30 From: <Anonymous>

Hi Cynthia I understand how you feel. I'd suggest you write to the folks at the Jamu shop. Perhaps they can help. I am a student and I explained that I needed help and he gave me a discount. You are not alone. God bless.

Keloids Re: Keloid cure at Jamu Shop - Date: 2003, Dec 31 From: Red

I have minor keloids formed on the back of my ears from ear piercings that I got 4yrs ago. I am a student as well and I have been trying to find an affordable way to get them removed. Where is this Jamu Shop? I live in Florida, would they be able to help me?

Keloid scars Re: Keloid cure at Jamu Shop - Date: Sep 13, 01:31 From: Ryan

When i was really small i had surgery to press my ears back close to my head because they stuck out a bit. I got 2 keloid scars, one on each ear. I had them for a few years. Then finally i had another surgery to remove them. After removing them they injected steroids into the ear, i cant really remember how many times. Anyways, its been like 10 years now and they haven shown up. But im 20, and I really want to get my ear pierced, and im just doin research on keloid scars now and if any "cures" are available and im out of luck. I guess no piercing for me, but im still goin to the docs to see what he says.

My Miracle Surgeon Master of Keloids Take my word for it. Re: keloids - (Cynthia Jackson) Date: 2003, Dec 06 From: Malcolm

Hi,       I saw your post online and can relate, I had a keloid on my right earlobe from a piercing I gotten. it was growing from the front of my lobe and was much larger in the back and mad itchy. I still have one on my left lobe and it just recently started to grow and itch, so its time to take action before it gets too serious... I had the keloid on my right earlobe removed in May 2003 and it hasn't regrown since and I don't think it ever will because of the skill and experience my surgeon had. Naturally As long as I dont incur any other trauma on my ear or cut it or something theres no chance of it coming back for sure. I want to give you the name of my surgeon, he's a miracle worker. My ear looks and feels like nothing ever was there HONESTLY. He's had experience with keloids for 20 yrs plus. He shown me picutures of other keloid patients and their experiences were much more severe than yours or mine and he made them appear as if nothing ever was there. There was this man that had his whole head wrapped in this massive keloid from shaving his scalp and popping his razor bumps (yuck) and he developed on massive keloid all over his scalp and Dr. Hall removed it all to reveal and natural looking head with a few stitches here and there. He's an artist in that sense. TAKE MY WORD FOR IT, I KNOW HOW MUCH IT SUCKS TO HAVE A KELOID ESPECIALLY IN YOUR CASE I HATED FEELING SO INTROVERTED BECAUSE OF IT, AND ITS WELL WORTH THE MONEY AND TIME TO SEE DR. MACY HALL. His number is 202-723-8768. I live in Washington D.C. and thats where he is located, as I afore mentioned "It's well worth the money and time to have Dr. Hall work on you" He charged me $600 for the surgery and $400 for the hospital fee for anestisia and other medical equipment used, but that was just for my situation. I'm not sure how much he'd charge in other circumstances. I really hope you conscider giving Dr. Hall a call, you won't regret it, I wouldn't be here typing this long letter to you if he couldn't help you. He knows how to perform the removal of a keloid and make inscisions in a fashion that doesn't cause too much trauma or friction so that ti won't grow again. Don't take my word for it give him a call, it won't hurt to. Keep me posted.

Successful Treatment for Keloid Scars Re: keloids - (Cynthia Jackson) Date: 2004, Feb 05 From: Trudy Fox

Dear All, Unfortunately there is no 'cure' as such for keloid scarring because it isn't a disease, it is a genetic skin type. There are problems with the collagen in the healing process. There are two successful methods of treating a keloid scar so that it is barely distinguishable from the surrounding skin. 1. Low dose frequent cortisone injections (Get your dermatologist to use the 'buffered' version - mixed with bicarbonate, so that the injection does not sting like hell). Often the scar will depress if too high a dose is used, but this will frequently pop back up again. The key to successful treatment is low dose and frequently (4 - 6 weekly injections) along the scar, until desired result is achieved. 2. Cica-Care Adhesive Gel Sheets which you wear on the scar for a period of time. These are produced by Smith+Nephew. see: www.cicacare.com Never allow a doctor to excise (cut out) a keloid as its nature (etiology) is to grow larger and exceed the original wound area in size!. Do not have low dose radiotherapy treatment as this can result in thyroid cancer. Some scars can be the result from nutritional deficiency. Particularly in Vitamin C which is the basis for collagen formation. Cheers, Trudy Fox www.trudyfox.com

Re: keloid surgery Re: Effective cure for Keloid - (R Parikh) Date: 2003, Jul 26 From: PJ

Hi, I developed a keloid as a result of a cesarean section. I didn't notice it until several months after delivering my daughter in May '02. I had surgery in March '03, mainly to relieve the itching. Unfortunately, the itching has returned and so has the keloid. Does anyone know of anything in the US that would offer some relief from the itching? The unsightliness of the scar doesn't bother me since it's in a private area. The itching is driving me crazy. I wasn't able to get an appt with another plastic surgeon until October. Thanks!

depressed Re: Effective cure for Keloid - (R Parikh) Date: 2003, Aug 20 From: ebele

I am so a victim of this really messed up keloid stuff!I got at least 25 or so keloids,i cant wear open toe slippers on holiday without people gawking.some blessed person help me.if your kind enough to reply please reply personally.thank you.

ugly keloid Re: Effective cure for Keloid - (R Parikh) Date: 2003, Aug 20 From: <angaur5 at aol.com>

I have 2 keloids, one on my upper right shoulder and the other on my chest. The keloid on the shoulder was a result of a vaccination shot, was a pimple size,a plastic surgergeon tried to remove it 20 yrs ago and it got bigger. I rec'd kenalog (sp) injection and it was too painful, although it flattened the keliid a little. That keloid has stretched, flattened, still unsightly yet does not give me much pain. The 2nd and newer keoid I have, now 15 yrs old, on my chest, is very painful especially right before my menstruation or when i have a flu- like symptom. This keloid on my chest was a result of a tiny pimple that I tried to squeeze. After a few days the pimple resulted in a small round scar. Over the years it got bigger, became more sensitive, very itchy, and throbbing with excrutiating pain (more pain than giving birth). The keloid is now a the length of my middle finger. I tried all sorts of treatment to no avail. Any new treatments that are effective? Take care.

Have you found help yet? Re: ugly keloid - Date: 2003, Aug 26 From: <keveenMurray at aol.com>

Hi, I read your posting on a website regarding your keloids. I have had a keloid on my shoulder for 22 years and which was operated on three times and one on my pubic area (a pimple that I squeezed) for thirteen years which was operated on twice. I received radiation therapy after the last surgeries but they still grew back. The reason that I was interested in your posting was your comment about the excruciating pain. Most doctors know nothing about this pain. I am now receiving treatment from a pain management clinic because of the constant mind boggling pain that I have from my keloids which also get three times worse one week before my period. Doctors also haven't linked the menstrual cycle with keloids either. I would like to know if you have found any treatments to date that assist with the pain. The medication I receive from pain management deals with the central nervous system (since the pain stems from the nerve growths in the keloids). However, the pain medications are typically used as psychotrophic medications. I have five different prescriptions and my problem is: either I deal with the pain or I sleep all day because the medications are very sedative. Feel free to email me back at this address. Oh, I have found something that works a little. It's a topical cream by a company called Symmetry and it's used for joint and muscle pain. I apply it to the skin surrounding the keloid and it takes the edge off just enough so I can function throughout the day without screaming out and making faces like a mad woman and making a spectacle of myself. lol. Email me if you would like to find out more about the cream.

Untitled Re: Have you found help yet? - Date: 2003, Nov 01 From: keloid missy

Don't fret. I know what you mean..that sharp pain at that keloid. I think it is the scar tissues multiplying and growing. I know. I found help with a Chinese ointment called the Mili at www.thejamushop.com. It stopped the pain and smoothened the bulge. Hope it can help you.

keloidal pain Re: Have you found help yet? - Date: 2004, Jan 02 From: <Anonymous>

The pain is maddening, i know! Also, stay away from seafood. It makes it worse. The started using the Mili and da Wan Ointment from The Jamu Shop and I thought it effectively takes away my pain and gradually flatten it. I am dependent on it daily but it is still cheap and manageable.

keloid Re: ugly keloid - Date: 2004, Jan 05 From: pretty

HelloI read the messages ,and i wanted to share my story,,I removed a keloid from a vaccination on my left shoulder 6 years ago,, it became worse, injections didnt help much, a year ago i had it removed, twice again,,one time the Dr used the steroid right away and it resulted an open wound,,then he took it out without the steriod right awayw, its really bad now with burning,,Iam goign to try the excision and radiation therapy ,,,I hope it works,,It isnt painful as much as it is an eye soar,sorry yours was so painful,,sometimes psychological pian is really bad too!

A herbal cure for kelloid Re: Effective cure for Keloid - (R Parikh) Date: 2003, Aug 27 From: James Okafor

Hello there. I have had a growth too that developed from pimples i burst. People recommended snake oil but i had to search deep into local villages where it is sold by local hunters. It is the retrieved from the fat of pythons. I reside in Nigeria which is culturally diverse and we have all sorts of herbal remedies for all sorts of problems, from impotency to even HIV. I personally know about 8 people that it has worked for including myself. it is as if it dissolves it. it gradually starts reducing till it becomes flat. it takes less than a month to flatten. the only problem is getting the oil. if you know where u can get the fat from pythons, try it out. it works. it is difficult to get though. you can try getting someone to send it to you from somewhere like nigeria where they sell the oil in local villages or go hunt one down in a jungle. okajames at yahoo.com

remedy for itchy scars Re: A herbal cure for kelloid - (James Okafor) Date: 2003, Sep 07 From: susan andrade

Hi, my name is susan. I can identify with everyones pain. I too suffer from keliod scarring after surgery. I had two scratches in my chest that was a result from me running my bike in a barbwire fence. Thinking plastic surgery would eliminate the scars, my scars became tremendously worse. The scratches became very painful and itchy, i went to bed crying many nights because the itching was unbearable. I have had surgery three times on one scar and it hasn't gotten better. After the second surgery the scar looked better because the physican took out only the middle section of the scar and closed the wound. It healed flat without itching, but he went back for the third time and took the whole scar out. The scar became bigger and itch really bad. (I use tea tree oil for the itching, IT WORKS) There is also another proceedure, its called tissue expansion, they insert a tubing under the skin and fill it up with water and stretch the skin so that they can have enough skin to close the wound after they remove the scar. Scars does not like tension and if you remove a piece of skin there will be tension to close that area. The scar spreads out to accommodate the area of skin that is lost. I don't think there is enough research going on because people who suffer from these types of scars are too embrassed to come out and talk about the pain. We have to talk about it and creat our own organization so that people out there who are not aware on this type of scare will be more sensitive towards our suffering. Physicans thinks because its not life threatening, its not worth talking about or researching. I know with research things could be better.

found python oil! Re: A herbal cure for kelloid - (James Okafor) Date: Jun 30, 05:08 From: Jacquelyn

I found it! Python oil! at www.thejamushop.com. They call it Ba Hen Ling or scar elixir. I am going to get a bottle to try. hope this works..they advised that i use the black paste and the ba Hen Ling together for better result. so here goes...

found python oil! Re: A herbal cure for kelloid - (James Okafor) Date: Jun 30, 05:09 From: Jacquelyn

I found it! Python oil! at thejamushop.com. They call it Ba Hen Ling or scar elixir. I am going to get a bottle to try. hope this works..they advised that i use the black paste and the ba Hen Ling together for better result. so here goes...

Together we will find a cure Re: Effective cure for Keloid - (R Parikh) Date: 2003, Sep 30 From: Keloid sufferer

Dear All I can symathise with you all as I have a keloid on my chest since 9 years which is steadily growing. Its depressing, especially in summer when you cannot where the clothes you want or be yourself. I have tried everything to no avail including gel sheets and injections. I will give the jamushop stuff a try. Just to say though at least we have a forum here. I really thought I was the only one in the world to suffer from one and its nice to know I am not alone. The more people become aware of keloids and their effects and the more we communicate through forums like this, Im sure we will find a solution. Take care

keliods Re: Effective cure for Keloid - (R Parikh) Date: 2003, Oct 02 From: kesha

Well I guess Im not alone. I developed a keliod scar after getting my second hole in both ears. My ears were always soar after the piercing, and one day while taking a final in college I took the earring out because it was bothering me. About 15 minutes later I went to put the earring back in and the whole had closed. Mind you I had that ear pierced for about 6 weeks. I've since had a keliod on both ears, front and back. They are unsightly. I guess Im lucky I have long hair to cover it, but I miss the days of wearing pony-tails, hats or wearing my hair up to an elegant event. When i go to the beauty parlor I hate the way people stare at my ears while i get my hair done. I feel ugly inside and out. I had them cut off to find that they'd grow back even quicker and more painful. I had steriod injections which seemed to make the wound smaller but was way to painful. I used band aides sillicone sheets, they relived the itching, and made the keliod smoother and less hard but they said the process would take almost a year and you have to wear them 23 hours a day. Atleast I know that there are people out there like me. GOOD LUCK EVERYONE

I'm tired of hurting Re: keliods - (kesha) Date: 2003, Oct 05 From: Terralisha

Hi my name is Terralisha Jackson I have a bad case of Keloids. Both ears and my back and I have numerous all over my body. I've had plenty of surgeries only to find they come right back. These keloids are so painful i have a heating pad, I take pain pills, sleeping pills, I have to use alchol and vicks sab, and I have back massagers I've tried so much I have the best doctor in the world he's at the point where he is trying to help me get some disability because the keloids are effecting my work I hurt all the time I've seen people with keloids but never as severe as mine my heart goes out to each and every person that suffers like me. Good luck!!!!

Chinese treatment Re: keliods - (kesha) Date: 2003, Nov 01 From: Julie

Thank you folks for sharing. I hate my scars very much and it had tormented me for years. Michael introduced the Mili from jamushop and it works wonders. The guy told me mine wasn't a keloid but a hypertropic scar and it is much easier to deal with than keloids. It did! It's flattened now. But a mark is still there. But it is as realistic as it can get. Thanks Michael. God bless.

MILI OITMENT Re: Chinese treatment - (Julie) Date: 2004, Jan 08 From: MARY

THANKS TO YOU MICHAEL, I ORDERED FROM THE JAMUSHOP THE MILICREAM FOR MY KELOID. HOPE IT WILL WORK WONDERS LIKE YOU SAY IT DOES. I TRIED INJECTIONS OF STERIODS ON MY KELOID BUT IT DOES NOT HELP ONLY INCREASES THE REDNESS. I ALSO AM DEPERATE FOR A CURE. I WILL LET EVERYONE KNOW HOW IT GOES WHEN I GET MY SHIPMENT!!! WISH ME LUCK !!!!!!!!

Untitled Re: Chinese treatment - (Julie) Date: 2004, Jan 16 From: Mimi

Yeah, the Mili was Ok for me. Probably my keloid was a little old and pretty hard. I tried their Da Wan and thought it works much better when I used both together. I mean, it didn't take away the keloid. But I have to be happy now that it is quite flat and shows some progress. Figured that keloids can only be controlled but you can never totally get rid of it. The man at thejamushop made explained that once the keloid stopped growing, the flattening is faster. Alright then..

Untitled Re: Chinese treatment - (Julie) Date: 2004, Jan 16 From: Val

Mine is not really flat but if a topical ointment can make it quite thin, I am quite happy with it. As long as it does not grow back. I am lucky as I sought treatment early. It's still small when I used the Mili and Da wan. They told me it works better. It did. But I find that I have to keep using it. And they told me it will mature after while. So. Let's see.

holding the tears back. Re: keliods - (kesha) Date: 2004, Mar 05 From: angie

I have a keloid scar on my chest above my breasts. It is big and red. It appeared one day and has only gotten bigger. For years I have had it, but did not know what it was. Because of where it is located I can only were low cut shirts. Anything that touchs it irritates it. I hate to wear them because it is so noticable and people keep asking me "what happened? Did you have surgery, or did you burn yourself." I would reply I don't know what it is! Finally, it got so big and itched, painfully I got up courage and was going to go get it cut off also (because I am getting married), I went to a dermatologist only find out that I will have it for the rest of my life. If I wanted I could get 4 or more cortizone shots in it monthly and use a cream. She said over time it may flatten it. Never though will it disappear. I had the first 3 shots a couple weeks ago, I was suppose to get 4, but they hurt so much i told her no. It is so sensitive anyways then to get shots right in it is unthinkable. I thought I was going to look beautiful in my wedding gown with out it. I know now though that either I can take the shots and hope it flattens, or accept it and hope it stops growing. I know too that God has blessed me. After reading how some of others are caused so much pain and can be greatful that mine does not hurt continuously.

Wanting knowledge Re: keliods - (kesha) Date: Apr 29, 17:24 From: Pam

My daughter is having steriod injections for her Keloids. It is working but I have been told it can make her infertile. Has anyone else heard this. I have looked on net and seen it could make men infertile but does this apply to females?

why is this so ? Re: Effective cure for Keloid - (R Parikh) Date: 2003, Oct 07 From: <tazmania94621 at yahoo.com>

my boyfriend has keliods and he has three tow on one ear and and one on the other he had gotten them removed once and they came back twice the size and he complains that they hurt when he sleep on them (on his side). he's going again to get them removed and i'm hopin that it works well they arent a problem to me. is he going to have to cover them up and is he going to have to take medicine tell me everything and how lond might it be before they they get normal p.s how would they take it off and it's attached to his ear would they have to cut his ear please tell me no if so i rather for him to keep the keliods and why do they turn colors and look like pruns and shrink i'am very curious this is the man i love and want to spend the rest of my life with please tell me everything you know ? thank -you for your time

effective cure for acne keloid Re: Effective cure for Keloid - (R Parikh) Date: 2003, Oct 10 From: teresa

hi, everyone i'm from Philippines. i need your help! i had a keloid on my nose because of the pimple i burst, and im so depressed about it, i brought it to a dermatologist and was injected 5 times, but nothing happens.and the worse is it gets multiplied. i really dont know what to do. anyone here can help me on my problem?? im begging you... please.. kindly email me personally... black_tomatoes at yahoo.com

Chinese keloid ointment Re: effective cure for acne keloid - (teresa) Date: 2003, Nov 01 From: Maria

I have a similar condition as yuo on my jaws. But I sought help early. I have been using a ointment called the Mili from www.thejamshop.com. Perhaps you can also try it. Tried many other things. It's the only thing that has worked for me. It's better to treat it early.

Depressed Re: Effective cure for Keloid - (R Parikh) Date: 2003, Oct 16 From: kristy

I am a 19 year old college student and I have had a keloid since I was 15 years old. It started as a little bump on the back of my right ear and now it takes up the majority of my ear. I have tried all sorts of "natural cures" but they have just wasted my money with no result. I am now about to try surgery but I am discouraged because of the high rate of it regrowing even bigger. I cant live like this the rest of my life so Im willing to take the risk. I was just wondering if anyone knows of a method that will reduce the chance of it regrowing.

Info Re: Depressed - (kristy) Date: 2003, Nov 02 From: <ahkitam at yahoo.com>

Hi, I have had a keloid every since I was 5 weeks old. I am now 17 yrs old and I would like it removed. I would like to know if anyone has had his or her keloid scar totally removed. Please email my your story Thank u

keloid Re: Effective cure for Keloid - (R Parikh) Date: 2003, Oct 16 From: mulinku

I also suffered from keloid since I was 10. I've tried all sort of medication but nothing work. I'm currenly using elicina which helps slightly but also very slowly. I'm wondering about the effectiveness of the cream from the JAMU shop. If anyone who tries got good result, please let me know. I'm a little skeptical of buying all this product since i"ve tried so many and none have shown results.

Mili Re: keloid - (mulinku) Date: 2003, Nov 01 From: Jennifer

HI I am a user of the Mili from jamushop.com. Although it does not show immediate effect, it gradually improves the appearance of the keloid as well as eliminate the itch. The keloid also got flatter, but they told it is not as effective for old scars above 10 years. Still, it is the cheapest and most effective treatment I have tried.

where i can get mili to treat the keloid Re: Mili - (Jennifer) Date: 2004, Feb 20 From: ita

hi where i get mili from jamushop to treat the keloid

Tattoo Removal EQUALS Kelloids!!???? Re: Effective cure for Keloid - (R Parikh) Date: 2003, Oct 23 From: Drew

I got a tattoo on my arm 2 years ago, and later removed it with laser surgery. Kelloids started appearing all over the tattoo, especially the dark coloured areas, but left the tattoo there. I now have colored keloids. Does anyone know how to remove them? Or if i delay immediate surgery, Will it affect my chances of recovery? (awaiting a miracle)

Kenalog a cure for keliod Re: Effective cure for Keloid - (R Parikh) Date: 2003, Oct 26 From: tina

I have a keliod on my left leg which was as a result of an injury. I had gone to several hospitals because of this and i met a doctor who told me he was going to perform a surgical operation which i did but it still came back looking flatter but wider.After sometime i met with someone who had keliod herself and told me she treated hers using kenalog injection.I decided to try it taking one kenalog injection a month. To my utmost surprise afer taking it for 2 months the keliod became flatter . I mean it was so flat that it could easily be mistaken for an ordinary scar.And guess what i still have one more injection to go after which it will lessen totally.Although there are some side effects when taking the injection, such as Itching which stops after some mins. Immadiately after injection keliod looks bigger because of content. Also the area of skin surrounding the keliod lightens but returns to normal complexion with time. I really think you should give it a try. GOOD LUCK

Milli ointment Re: Effective cure for Keloid - (R Parikh) Date: 2003, Nov 03 From: lakesha

Hi, everyone I am back, after reading everyone's stories I deiced to try to do something. I cannot believe that with so many people suffering from this needless pain, why no one does anything about it. I think if enough people complained, doctors would take finding a cure more seriously. It is appalling that removal or help for a keliod is classified as Cosmetic Surgery. What people without keliods need to understand is that this is not cosmetic, keliods affect more than your appearance, it affects your self-esteem and social life. I wrote to BET.com, since this is a problem that many African American’s suffer from. I asked that they try to find some information on Keloids and post them on their website. Information seems to be all we can ask for these days, but it’s better than nothing. To Tina, I tried steroid injections once. They were so painful. It was injected with a needle, and it felt as though someone was filling up a water balloon. The Keliod got swollen, but I guess the steroids dissolved. In about a week, the keliod appeared smaller, but it was too much pain plus $200 per keliod and I have 2 on each ear. So you know what that adds up to, BIG BUCKS monthly. I’ve been trying the milli ointment from Jamushop thanks to those who requested or informed me of it on this website. In a week, the reddish, purplish color is turning back to my natural skin color and the itch has all but disappeared. I can’t wait to see reduction in the keliod, I hate to be inpatient, but I’ve been living with this for 4 years now!!! If anyone can find a way to get people to pay us some attention, let me know!!!

Untitled Re: Milli ointment - (lakesha) Date: 2003, Nov 30 From: Victor Wills

I agree! Physicians son't really pay much attention to us! I am glad Chinese physicians are working on it. I have not tried the Mili ointment form the jamus shop because the guy there advised me to use the Centella Asiatica instead as my keloid sores easily. I couldn't quite believe there is such a thing as I have suffered for so many years. That darn Centella Ointment softens the keloid, kills the pain and itch and its rounding off at the edges. Why didn't they tell me earlier??? I wouldn't have gotten so big.

EVER HOPEFUL Re: Effective cure for Keloid - (R Parikh) Date: 2003, Nov 18 From: CLARE

WISHING KELOIDS EVERYWHERE WOULD VANISH

I WANT TO WEAR MY HAIR UP Re: Effective cure for Keloid - (R Parikh) Date: 2003, Nov 27 From: J.J.

KELIODS ARE TERRIBLE FOR MEN AND WOMEN, LUCKILY WOMEN CAN WEAR THIER HAIR DOWN, BUT WHO WANTS TO DO THAT FOR THE REST OF THEIR LIVES.............................. AND MOST OF US ARE ASHAMED TO GO TO THE SALON BECAUSE, YOU DON'T WANT TO BE ASK THAT DUM QUESTION LIKE "eee what happen to your ear" some people can be so rude. But, before I go I just have one question--- for old keliods on the ear what to you think is better the sheets or the cream, please write back. God Bless.

re: I want to wear my hair up Re: Effective cure for Keloid - (R Parikh) Date: 2003, Dec 01 From: kesha

JJ.. I feel your pain. Im African American, so I have to get my hair done instead of doing it myself. I use to have long beautiful hair, but since the growth of the keliods on my ear I always have to wear my hair down. This has caused breakage from the torture of constantly blow drying and combing to insure that my hair covers my ears. The sad part is, on the bad hair days, like rainny, windy or just need a perm days, I have to still wear my hair done and look like a wet dog instead of wearing it in a pony tail like a normal person. I hate to go to the beauty parlor if its crowded. I'd rather wake up at 7 on a saturday then go when people are there. I always use my cell phone or read a paper, book or anything to avoid the stares I see. Sometimes, children in the salon, will come up to me and ask me what it is and why is it there. Thats doesn't bother me so. Its when they adults make faces or stare. I know they dont understand, but I hate having to explain to everyone I come in contact with why my ears are so ugly. Sometimes when I go out, the dress calls for an up do, but thats a no-no for me. I wont let people play in my hair for fear they might alter the sculpture on my head it took all morning to make. No one can kiss or nibble on my ear. My boyfriend still does out of love, but I do not feel comfortable. And you know what’s the worst thing? I did nothing to cause this except get my ears pierced. Its funny how one move can affect the rest of your life. I hope we can find a cure together soon, because I don’t want the type of keliods that hang from my ears like earrings. HELP ME PLEASE

My Miracle Surgeon Master of Keloids Take my word for it. Re: re: I want to wear my hair up - (kesha) Date: 2003, Dec 06 From: Malcolm

Hi,       I saw your post online and can relate, I had a keloid on my right earlobe from a piercing I gotten. it was growing from the front of my lobe and was much larger in the back and mad itchy. I still have one on my left lobe and it just recently started to grow and itch, so its time to take action before it gets too serious... I had the keloid on my right earlobe removed in May 2003 and it hasn't regrown since and I don't think it ever will because of the skill and experience my surgeon had. Naturally As long as I dont incur any other trauma on my ear or cut it or something theres no chance of it coming back for sure. I want to give you the name of my surgeon, he's a miracle worker. My ear looks and feels like nothing ever was there HONESTLY. He's had experience with keloids for 20 yrs plus. He shown me picutures of other keloid patients and their experiences were much more severe than yours or mine and he made them appear as if nothing ever was there. There was this man that had his whole head wrapped in this massive keloid from shaving his scalp and popping his razor bumps (yuck) and he developed on massive keloid all over his scalp and Dr. Hall removed it all to reveal and natural looking head with a few stitches here and there. He's an artist in that sense. TAKE MY WORD FOR IT, I KNOW HOW MUCH IT SUCKS TO HAVE A KELOID ESPECIALLY IN YOUR CASE I HATED FEELING SO INTROVERTED BECAUSE OF IT, AND ITS WELL WORTH THE MONEY AND TIME TO SEE DR. MACY HALL. His number is 202-723-8768. I live in Washington D.C. and thats where he is located, as I afore mentioned "It's well worth the money and time to have Dr. Hall work on you" He charged me $600 for the surgery and $400 for the hospital fee for anestisia and other medical equipment used, but that was just for my situation. I'm not sure how much he'd charge in other circumstances. I really hope you conscider giving Dr. Hall a call, you won't regret it, I wouldn't be here typing this long letter to you if he couldn't help you. He knows how to perform the removal of a keloid and make inscisions in a fashion that doesn't cause too much trauma or friction so that ti won't grow again. Don't take my word for it give him a call, it won't hurt to. Keep me posted.

Please do not send out the wrong message !! Re: My Miracle Surgeon Master of Keloids Take my word for it. - (Malcolm) Date: 2004, Mar 26 From: <Anonymous>

I am not sure what kind of an experience you had with this doctor - if u had one at all. I checked him out and he is not effective in any way. Please do not go around advertising for all the wroong people.

i used to have keloids on ears too Re: re: I want to wear my hair up - (kesha) Date: 2003, Dec 16 From: crystal

i write in regards to your letter about wanting to wear your hair up.. i too had keloids on both ears from ear peircings. i am now 22, had surgery at 15 and 16 and have no reoccurence - on my ears. The process was injections of sterids once a week over two months to soften the scar, and then it was excised (on both ears), and my head was wrapped in a very uncomfortable, very tight compression bandage for a week. After the first operation they reoccurred within 6 months. The next year i had it done again, the same process as previously described. Except the bandage was on a few days longer, and after it was taken off i rubbed pure vitamin e oil into the scar,and massaged it into my scar. it has been 6 years and i have had no reocurence. The process wasnt pleasant, and i still worry about them returning, but it was so worth it not to suffer any more. I had these scars whilst i was at high school, and know about people being repulsed and having to constantly tell people what they are, and never being able to wear your hair up. I suffer keloids still across my back and chest - all which occur from nothing i can remember - sporadic keloids. i have started to try pure emu oil, and these seem to responding ok. have only been on it for 2 weeks, and will update regarding whether they improve. Good luck, and i hope it works out for you... crystal

Keloids are so frustrating! Re: i used to have keloids on ears too - (crystal) Date: 2004, Jan 30 From: Sandy

Hello- I was reading the different messages about keloids.I too suffer from keloids...After much reading about them,it seems that there is no sure cure for them..Where in the world did they come from anyway??? Mine started out on my chest, very small pimples, about 10 years later, the one on my chest has grown so very large, it's almost unbelievable! Why do they itch so bad? It is insane.They are also very embarassing for me.I find it very difficult to wear the blouses that I would like to wear because of the looks that you get from people..Why is there not a cure for this???They can find cures for everything else, but not keloids..This is so disgusting.I developed one on my left ear about 6 months ago, out of the blue, it is so frustrating, and it has started to itch like crazy, I know that means that it is growing! Someone please , if you have some valuable information for me about keloids, please feel free to get in touch with me, or leave me your comments.I'd appreciate it greatly! Take care`

Untitled Re: i used to have keloids on ears too - (crystal) Date: 2004, Feb 07 From: <Anonymous>

Frustrating keloids!!! Re: i used to have keloids on ears too - (crystal) Date: May 11, 18:48 From: Chantelle

after much reading on this type of scar tissue & reading letters of other sufferers i now don't feel like im not normal. i pierced my ears in 2002 and they were fine for a year, then these keloids starting forming on my lower ear lobes (both ears). my mom took me to a doctor & they prescribed me to a plastic surgeon. i had an operation to cut them out, my left ear's keloids grew out the front & back while my right ear's keloid were much bigger (only on the back of lobe). this plastic surgeon never gave me any post-operative treatment (e.g radiation or special creams) so i still had hard bumps in my ears. a few months ago they starting growing out my ears again, i'm 16 years old now. although mine aren't massive like others i've seen, i'm still self-confident about them. i want to pursue my dream of becoming a model but i can't wear my pretty hoops or other earrings like all my friends do. i had my belly- pierced 3 months ago & thank-goodness there's no sign of them growing there- i was told by my new plastic surgeon that i'll probably only ever get them on my ears, but still! Anyway hopefully i'll have an op to have them cut out & radiation after to kill them off for good very soon. I wish luck to all the keloid sufferers out there- Chantelle (South Africa)

Help for a 14 year old Re: i used to have keloids on ears too - (crystal) Date: Sep 18, 14:57 From: Fiona Planke

I have keloids and its hard having to be limited to what you can wear.Im a freshman in highschool and everyday some else asks me what are the things on my ears and its hard see other people with pierced ears.I wonder why didnt theirs go wrong and mine did? Anyone have advice on this?

Jamu Shop Re: Effective cure for Keloid - (R Parikh) Date: 2003, Dec 01 From: Melanie Grifith

Finally! Been using Jamu Shop's combination of centella and the Mili for a month now. I am ready to let you know my results of that humongous bump on my chest. Result: I am very pleased but wished that there can be more! I know it is selfish but you just get so exciting when you feel your keloids smoothening out slowly. I just pray that it does not stop there and keep smoothening. The combination of the Mili and CA is what I am relying on now until something better comes up. It stops that hair tearing itch and smooths out the creases and wrinkles of the keloid. It is not a miracle but I am just glad I can depend on something to stop those keloids from destroying my life...for now.

question Re: Jamu Shop - (Melanie Grifith) Date: 2004, Jan 04 From: Ify

Where can I find Jamu shop in the UK?

Untitled Re: question - (Ify) Date: 2004, Jan 17 From: <Anonymous>

I too would like to know if there is a shop in the UK. please reply if anyone knows.

Keloids on my nose Re: Effective cure for Keloid - (R Parikh) Date: 2003, Dec 04 From: Denise

Hi, I developped two keloids from two pimples on the left side of my nose, despite the fact that I did not pick and squeeze them ( Somebody posted that her keloids had resulted from squeezing the pimple. I guess it's not necessarily so. That damn disease!) Right now, they're like a round-shaped scar. I've been using the Mili cream twice a day and the silastic sheeting at at night for 2 months, now (The JamuShop). At first, it seemed to have an effect and I was absolutely delighted. I finally had hope. Now I notice that whenever I use the Mili cream, the skin breaks in the middle, in a circular pattern, like a pit. I stop using it and it heals. I use it again, and the same thing occurs. This is freaking me out, because that means trauma to the skin and trauma is not supposed to be good for keloids! The keloids now seem bigger than what I started with. Has anyone had a similar experience with the Mili cream? Everybody who used it reported such good results so far, I don't understand what's going on. Should I quit the Mili altogether or persist? As for the silastic sheeting, at first, the keloids seemed flatter for about an hour or so in the morning, when I removed the sheet to go to work. (I keep it in place with a band-aid) I figured long term use (about a year) would make a lasting difference. Now I don't even see a temporary diffrence in the morning. This is so frustrating. Also, Does anyone know if steroid injections on the nose are contraindicated? My dermatologist does not want to inject the keloids on my nose, for some reason. I really want it done no matter what. It has helped on other keloids on my body (flatter and smoother). Somebody please reply. I hope we all beat this thing soon!

My Miracle Surgeon Master of Keloids Take my word for it. Re: Keloids on my nose - (Denise) Date: 2003, Dec 06 From: Malcolm

Hi,       I saw your post online and can relate, I had a keloid on my right earlobe from a piercing I gotten. it was growing from the front of my lobe and was much larger in the back and mad itchy. I still have one on my left lobe and it just recently started to grow and itch, so its time to take action before it gets too serious... I had the keloid on my right earlobe removed in May 2003 and it hasn't regrown since and I don't think it ever will because of the skill and experience my surgeon had. Naturally As long as I dont incur any other trauma on my ear or cut it or something theres no chance of it coming back for sure. I want to give you the name of my surgeon, he's a miracle worker. My ear looks and feels like nothing ever was there HONESTLY. He's had experience with keloids for 20 yrs plus. He shown me picutures of other keloid patients and their experiences were much more severe than yours or mine and he made them appear as if nothing ever was there. There was this man that had his whole head wrapped in this massive keloid from shaving his scalp and popping his razor bumps (yuck) and he developed on massive keloid all over his scalp and Dr. Hall removed it all to reveal and natural looking head with a few stitches here and there. He's an artist in that sense. TAKE MY WORD FOR IT, I KNOW HOW MUCH IT SUCKS TO HAVE A KELOID ESPECIALLY IN YOUR CASE I HATED FEELING SO INTROVERTED BECAUSE OF IT, AND ITS WELL WORTH THE MONEY AND TIME TO SEE DR. MACY HALL. His number is 202-723-8768. I live in Washington D.C. and thats where he is located, as I afore mentioned "It's well worth the money and time to have Dr. Hall work on you" He charged me $600 for the surgery and $400 for the hospital fee for anestisia and other medical equipment used, but that was just for my situation. I'm not sure how much he'd charge in other circumstances. I really hope you conscider giving Dr. Hall a call, you won't regret it, I wouldn't be here typing this long letter to you if he couldn't help you. He knows how to perform the removal of a keloid and make inscisions in a fashion that doesn't cause too much trauma or friction so that ti won't grow again. Don't take my word for it give him a call, it won't hurt to. Keep me posted.

Sick Of Surgery Re: Effective cure for Keloid - (R Parikh) Date: 2003, Dec 04 From: Mark

I have been burned, cut, scraped, etc. from birth to age 19, THEN I got punched in the ear, the lobe tore like a piece of paper & I got my keloid. It grew very slowly. The first doctor I went to injected it with steroids -- VERY PAINFUL. After seeing the injections weren't working, he removed it. (Cosmetic surgery out of MY pocket). Within 2 years, it came back bigger & kept growing until it threatened to cover my ear canal. This was actually GOOD news because NOW my primary physician could classify it as NON-cosmetic surgery. Since then I go thru the same cycle every 2 years -- I have it removed, it looks GREAT for about a year & a half, then it starts growing again (seems to grow exponentially) & I have it removed again. I thought I could deal with the prospect of free surgery every 2 years, but I would LOVE to find something else that works. Right now its huge again & needs to be removed. I had radiation treatment the last time but knew it would not help. I'm going to try the products from WWW.JAMUSHOP.COM after my ear is fully healed from surgery. If it at least gets me from 2 to 3 years between surgeries, it will be a blessing.

A POSSIBLE CURE !!! Re: Effective cure for Keloid - (R Parikh) Date: 2003, Dec 04 From: Mark

Ok gang, time to get up & lift our heads & DO SOMETHING about our problem. I have spent the past hour & a half researching keloids & keloid treatment online using GOOGLE. Here is what I've found: Keloids are genetic. Chinese, Polynesian & Indian descents are most pre-disposed. Happens with great frequency among African descents as well. Read something that said its transferred both dominantly & recessively (not much detail though). Read something that stated that some keloids will grow for up to 1 year & then stop growing on their own (yeah, right). Keloids are the faulty healing of damaged skin -- they will grow. Keloids affect the surrounding healthy skin as well (this may be why the come back bigger after surgery). There are MANY treatments, but only a very few seem effective: Pressure Treatment - fitting some form of compression device to the area after surgery. The creams & sheets available from WWW.JAMUSHOP.COM. FINALLY!!! I ran across a report of a medical study using a cream called ALDARA which is 5% IMMUNO-something. It stimulates INTERFERON production at the site which has an effect on the keloid. Here: Therapeutic treatment of hypertrophic scars and keloids includes use of occlusive dressings, compression therapy, intralesional corticosteroid injections, cryosurgery, excision, radiation therapy, laser therapy, interferon therapy, imiquimod 5% cream, and other promising but lesser-known therapies directed at collagen synthesis. Dressings: Silicone gel sheets and silicone occlusive dressings have been used with varied success. Antikeloidal effects appear to result from a combination of occlusion and hydration, rather than from an effect of the silicone. Previous studies have shown that in patients treated with silicone occlusive sheeting with pressure worn 24 hours per day for up to 12 months, 28% demonstrated no or slight improvement, 37.5% showed moderate improvement, and 34% showed excellent improvement. Compression: Pressure has long been known to have thinning effects on skin. Reduction in the cohesiveness of collagen fibers in pressure-treated hypertrophic scars has been demonstrated by electron microscopy. In one study, button compression (2 buttons sandwiching the earlobe applied after excision of keloids) prevented recurrence during 8 months to 4 years of follow-up observation. Other pressure devices include pressure earrings and pressure-gradient garments made of lightweight porous Dacron spandex bobbinet fabric (usually worn 12-24 h/d) and zinc oxide adhesive plaster. Overall, 60% of patients treated with these devices showed 75-100% improvement. Corticosteroids: Intralesional corticosteroids have been the mainstay of treatment. Corticosteroids reduce excessive scarring by reducing collagen synthesis, altering glucosaminoglycan synthesis, and reducing production of inflammatory mediators and fibroblast proliferation during wound healing. The most commonly used corticosteroid is triamcinolone acetonide (TAC) in concentrations of 10-40 mg/mL administered intralesionally with a 25- to 27-gauge needle at 4- to 6-week intervals. Efficacy of intralesional steroids as a single modality and as an adjunct to excision has been shown in various studies. Response rates varied from 50-100% with recurrences of 9-50% in completely resolved scars. When combined with excision, postoperative intralesional TAC injections yielded a recurrence rate of 0-100% with most studies citing less than 50% recurrence. Complications of repeated corticosteroid injections include atrophy, telangiectasia formation, and pigmentary alteration. Radiation therapy: Using radiotherapy to treat keloids remains controversial. Although many studies have demonstrated efficacy and decreased recurrence rates, the safety of radiotherapy has been questioned. In one retrospective study of superficial x-ray therapy of 24 excised keloids, the author reported a recurrence rate of 53%. Use of iridium-192 interstitial irradiation after excisional surgery resulted in a 21% recurrence rate after 1 year. Excisional surgery and preoperative hyaluronidase solution (150 U/mL NaCl) followed by external radiation (7.2-10.8 Gy) had 0% recurrence rate. When excisional surgery is followed by postoperative radiation therapy, the total fractionated dose should be a minimum of 12 Gy, according to a comparative study showing a higher recurrence rate for patients treated with total doses less than 12 Gy. Interferon therapy: A recent innovation in the treatment of keloids and hypertrophic scars is the use of intralesional interferon. In vitro studies have demonstrated that interferon alfa, interferon beta, and interferon gamma reduce keloidal fibroblast production of collagen I, III, and VI messenger RNA. Interferon alfa and interferon beta also reduce fibroblast production of glycosaminoglycans (GAGs), which form the scaffolding for deposition of dermal collagen. Interferon gamma enhances GAG production. Interferon alfa, interferon beta, and interferon gamma have been shown to increase collagenase activity. Studies have shown that interferon gamma modulates a p53 apoptotic pathway by inducing apoptosis-related genes. p53 is a protein synthesized following DNA damage. Once damage is repaired, p53 is degraded. Mutations of this protein are believed to predispose cells to hyperproliferation, possibly resulting in keloid formation. In addition, p53 is a potent suppressor of interleukin-6, a cytokine implicated in hyperproliferative and fibrotic conditions. Interferon injected into the suture line of keloid excision sites may reduce recurrences prophylactically. Berman and Flores reported statistically significant fewer keloid recurrences in a study of 124 keloid lesions after postoperative treatment using interferon alfa-2b (5 million units, 1 million units injected per centimeter of scar) into keloid excision sites (18%) versus excised alone (51.1%) and TAC-treated sites (58.4%). We recently studied the effects of the topically applied agent imiquimod 5% cream (Aldara), which induces local production of interferons at the site of application, on the post-excision recurrence rates of 13 keloids excised surgically from 12 patients. Starting the night of surgery, imiquimod 5% cream was applied for 8 weeks. Patients were examined at weeks 4, 8, 16, and 24 for local erythema, edema, erosions, pigment alteration, and/or recurrence of keloid. Of the 11 keloids evaluated at 24 weeks, none (0%) recurred, lower than recurrence rates previously reported in the literature. Other potential therapies: Additional potential therapeutic options for treating hypertrophic and keloidal scarring that have been shown in vitro to affect collagen synthesis include use of proline-cis-hydroxyproline and azetidine carboxylic acid, tranilast (antiallergic drug shown to decrease collagen and GAG synthesis), and pentoxifylline (inhibits DNA replication). In addition, wounds treated with anti–transforming growth factor b healed with minimal scar tissue formation and without affecting wound tensile strength. A possible candidate for affecting wounds via the neutralizing effect of transforming growth factor b is the proteoglycan termed decorin. AND: We recently reported the effects of the topically applied agent imiquimod 5% cream (Aldara), which induces local production of interferons at the site of application, on the post-excision recurrence rates of 13 keloids excised surgically from 12 patients. Starting the night of surgery, imiquimod 5% cream was applied for 8 weeks. Patients were examined at weeks 4, 8, 16, and 24 for local erythema, edema, erosions, pigment alteration, and/or recurrence of keloid. Of the 11 keloids evaluated at 24 weeks, none (0%) recurred. Incidences of hyperpigmentation were 63.6%. Two cases of mild irritation and superficial erosion cleared with temporary discontinuation of imiquimod. Both patients completed the 8 weeks of topical therapy and the final 24-week assessment. At 24 weeks, the recurrence rate of excised keloids treated with postoperative imiquimod 5% cream was lower than recurrence rates previously reported in the literature. Right now Aldara is only approved for the treatment of genital warts by the FDA. But there are ongoing studies for its uses with Keloids. Maybe, if we all form a single voice, we can speed the process & see what happens...

aldara and keloids Re: A POSSIBLE CURE !!! - (Mark) Date: Oct 08, 14:16 From: mandy baker

I have just stared Aldara treatment for a keloid scar from a thyroidectomy. The scar is only two months old. So far my results are minimal. I get instant relief from the pain and itching, but it only lasts a few hours then I am back to feeling as before. My perscription is for two applications of cream twice a week for 12 weeks. I will keep you posted on my results.

More Info Re: Effective cure for Keloid - (R Parikh) Date: 2003, Dec 04 From: Mark

Colchicine: stimulates collagenase activity. In a study, patients with abnormal scar deposition resistant to conventional therapy, have been treated with excision, grafting the defect, inducing lathyrism with BAPN or penicillamine and administering colchicine. No patients developed recurrent keloids while undergoing treatment. Does silicone sheeting help with keloids? Answer: The nonsurgical management of keloids can be broadly subdivided into two major groups, physical and pharmacologic. Examples of physical forms of treatment include radiotherapy, ultrasound, cryotherapy, pressure, and laser. Varying degrees of success have been reported. Most studies conclude that there is no role for x-ray therapy alone in treating established keloids. Pressure has been used and, when applied day and night for 4 to 6 months, has been shown to be beneficial in reducing abnormal scarring. Laser therapy has been used but there are insufficient data to support its use. Pharmacologic management takes many forms but the most common agents used are intralesional steroids. Results in the literature show significant objective response to treatment to range from 31% to 100% but side effects include atrophy, depigmentation, and telangiectasia. Other pharmacologic agents include penicillamine, retinoic acid, dextran sulfate, antineoplastic agents, adhesive zinc tapes, and silicone gels. Good response rates, from 65% to 86%, have been reported in studies of topical silicone sheeting, although the mechanism by which the silicone produces its effect remains unclear. Recently, interferon-gamma (in hypertrophic scars) and interferon-a2b (in keloids) suggest beneficial effects on the resolution of these lesions. The therapeutic management of hypertrophic scars and keloids includes occlusive dressings, compression therapy, intralesional corticosteroid injections, cryosurgery, excision, radiation therapy, laser therapy, interferon therapy, and other promising, lesser known therapies directed at collagen synthesis. Although the most commonly used occlusive dressings include silicone-based materials, the anti-keloidal effect is the result of the occlusion and hydration effect rather than the silicone itself. Pressure devices, through local tissue hypoxia, have proven effective in reducing scar height. Intralesional steroids decrease the connective tissue components and scar volume. Does surgical excision cure keloids? What are the indications for operation? Answer: Put briefly, surgical excision does not guarantee that a keloid will not recur. In fact, keloids frequently recur after excision even when it is supplemented with other forms of therapy such as intralesional injection of corticosteroids. Indications include failure of more conservative therapy, functional impairment due to the keloid, and aesthetic deformity significant enough to cause distress to the patient, though in these instances, the patient should be warned that recurrence is not only likely but may be more severe than the original keloid. Complaints of burning and itching can sometimes be relieved with intralesional steroids or antihistamines alone. Do lasers help keloids? Answer: Many type of lasers have been tried on keloids. The continuous-wave CO2 laser were first reported to give good results by Bailin in 1982. The laser’s beneficial effect was attributed to its nontraumatic and anti-inflammatory properties. Later reports by Norris and then Apfelberg showed that CO2 laser excision failed to suppress their growth and recurrences. The argon laser was thought to work by coagulation of the capillary plexus leading to an area of localized anoxia believed to cause granulocytic lysis and release of collagenase. Studies have failed to show efficacy with the argon laser. No improvement is seen in patients longterm. The neodymium-YAG laser results have been mixed, some reports noting good results but others only with steroid. The mechanism is postulated to be a selective photobiological effect on collagen metatbolism. Finally the 585-nm pulsed dye laser has been shown to result in softening and flattening of scars as well as decreased erythema. The mechanism of improvement in scar texture produced by this vascular-specific laser has been theorized to result from decrease microvascular perfusion altering ratio of collagen metabolism to catabolism, and superheating of collagen fibers dissociates disulfide bonds which are subsequently reorganized in alignment.

help!!!!!!!!! Re: Effective cure for Keloid - (R Parikh) Date: 2003, Dec 06 From: malik

heyy all i havea keloid scar above my top lip in between my nose and lip and if ANYONE can help me get rid of it please im beggin to help me. God bless Alll

My Miracle Surgeon Master of Keloids Take my word for it. Re: Effective cure for Keloid - (R Parikh) Date: 2003, Dec 06 From: Malcolm

Hi,       I saw your post online and can relate, I had a keloid on my right earlobe from a piercing I gotten. it was growing from the front of my lobe and was much larger in the back and mad itchy. I still have one on my left lobe and it just recently started to grow and itch, so its time to take action before it gets too serious... I had the keloid on my right earlobe removed in May 2003 and it hasn't regrown since and I don't think it ever will because of the skill and experience my surgeon had. Naturally As long as I dont incur any other trauma on my ear or cut it or something theres no chance of it coming back for sure. I want to give you the name of my surgeon, he's a miracle worker. My ear looks and feels like nothing ever was there HONESTLY. He's had experience with keloids for 20 yrs plus. He shown me picutures of other keloid patients and their experiences were much more severe than yours or mine and he made them appear as if nothing ever was there. There was this man that had his whole head wrapped in this massive keloid from shaving his scalp and popping his razor bumps (yuck) and he developed on massive keloid all over his scalp and Dr. Hall removed it all to reveal and natural looking head with a few stitches here and there. He's an artist in that sense. TAKE MY WORD FOR IT, I KNOW HOW MUCH IT SUCKS TO HAVE A KELOID ESPECIALLY IN YOUR CASE I HATED FEELING SO INTROVERTED BECAUSE OF IT, AND ITS WELL WORTH THE MONEY AND TIME TO SEE DR. MACY HALL. His number is 202-723-8768. I live in Washington D.C. and thats where he is located, as I afore mentioned "It's well worth the money and time to have Dr. Hall work on you" He charged me $600 for the surgery and $400 for the hospital fee for anestisia and other medical equipment used, but that was just for my situation. I'm not sure how much he'd charge in other circumstances. I really hope you conscider giving Dr. Hall a call, you won't regret it, I wouldn't be here typing this long letter to you if he couldn't help you. He knows how to perform the removal of a keloid and make inscisions in a fashion that doesn't cause too much trauma or friction so that ti won't grow again. Don't take my word for it give him a call, it won't hurt to. Keep me posted.

EVERY ONE'S KELOID IS DIFFERENT Re: Effective cure for Keloid - (R Parikh) Date: 2003, Dec 06 From: <Anonymous>

SOME SCARS NEVER RETURN AFTER THEY GET REMOVED AND SOME DO!! IT JUST DEPENDS ON THAT PERSON, WHAT MAY WORK FOR SOME, MAY BE HARMFUL FOR ANOTHER.BUT I WOULD SUGGEST TO TRY THE MILI CREAM FIRST; MORE THAN LIKELY ONCE THE SCAR IS REMOVED ABOUT 6 MONTHS TO A YEAR IT GROWS BACK EVEN LARGER!!! PLEASE LET CUTTING IT OFF BE YOUR LAST OPTION.

does the jamushop Really work Re: Effective cure for Keloid - (R Parikh) Date: 2003, Dec 16 From: TIRED OF LOOKING

FOR A KELOID ON THE EAR, DOES THE CREAMS REALLY WORK?

Re: Effective cure for Keloid - (R Parikh) Date: 2003, Dec 17 From: <Anonymous>

Is It a part of me or is it not Re: Effective cure for Keloid - (R Parikh) Date: 2003, Dec 17 From: Slim

Hi I'm an african american male I'm 27 years old and I have two keiloids on my face one on each cheek they started off as pimples and they got bigger, I had them both injected with cortizone and had some kind of surgery on them and one ofe them had gotten flatter to the point where now it's there biut it's not a sbad but the other one has gotten bigger and by it being on my face it's so hard for me to socialize with people beacause I dont know if they are looking at my scar when they talk to me or not, I often get asked questions by people at work or at college whats that on your face? To me thats rude, and I realized people are just insensitive, I found this site, and I can relate to everyone on this site because we share one thing and thats keloid skin, this is the first time i have ever really gotten a chance to talk about it and hear others talk about it because it's so embarrasing, Itried silicone sheetings but by it being on my face I'm not about to walk around with it on my face all day, but I will try the Jamu Shop Hopefully that it will work but I will let you know once I tried it for a while! I know it gets hard sometimes but we just have to keep our heads up and love ourselves for who we are, I have grown to accept my condition I would love to have it gone but if not I just have to accept it as being part of me Remember God Loves you and so do I

Is it a part of me Re: Is It a part of me or is it not - (Slim) Date: 2004, Jan 02 From: <Anonymous>

I tried the Jamu Shop and I must say I am quite pleased though not ecstatic. It works well in removing pain and itch and gradually flatten it from the middle. But it takes time, do not expect miracles. As long as it can stop the pain and itch, it should be useful for use. BUt I guess the best part is that it stops the growth.

surgery and radiation therapy works Re: Is It a part of me or is it not - (Slim) Date: 2004, Mar 29 From: Kieanna L. Harris

i am an 31 year old african american woman living in michigan. i have dealt with keloids all of my life. i originally started out with keloids on both ear lobes from piercing ears. keloids are genetic, chances are if you father has them (mine did) then you are prone to getting them. i am getting ready to go back up under the knife for about the 15th time in the last 25 years. several years ago i opted to have the radiation following my surgical incision. it stop the keloids on my ears from coming back, but there is are two on my chest and one behind my ear from a car accident. i had radiation, and in 2002 had my thyroid removed. some said it came from radiation, but the doctor that i am seeing now says that beta radiation is not the same as gamma. anyone out there with information that can help an old salt in the game like me?

Untitled Re: surgery and radiation therapy works - (Kieanna L. Harris) Date: 2004, Apr 02 From: <Anonymous>

I Live in michigan and have a keloid behind my ear but I can not find the right doctor to remove using radiation near where I live that is rochestor hills

Re: Question "Is it apart of me or is it not" Re: Effective cure for Keloid - (R Parikh) Date: 2003, Dec 17 From: Kesha

Slim I feel you. I can honestly say this is also the first time I have felt comfortable expressing and talking about my keloids. I do not even talk about them to my family. I know they love me, but I do not put them threw the torment of having to see my ears all the time, even in the house. I am happy that I can communicate and get information from you people. Thanks so much for the support!! Keep you head up, a cure will come one day. By the way, I went to the dermatologist on Friday. My new dermatologist showed me pictures of other keloid removals he did this year. He said out of eight only one of his patients had a reoccurrence. I hope that I will to be one of the seven who will not have to look at these bumps again! GOOD LUCK TO EVERYONE!!!

The role of Nitric Oxide in the formation of keloids Re: Effective cure for Keloid - (R Parikh) Date: 2003, Dec 29 From: Anders, Denmark

If any of you guys are interested in the molecular basis of the formation of keloids, you might wanna check this article out. I think it's pretty interesting. http://www.maths.gla.ac.uk/~cc/pdf/medhyp_NO.pdf

Centella Asiatica Re: Effective cure for Keloid - (R Parikh) Date: 2004, Jan 01 From: Anders Porskrog

It took me a while to realize, but as far as I can see are Centella Asiatica, Hydrocotyle Asiatica (both latin) = Gotu Kola (sinhalese?) = Indian/Asiatic Pennywort, Indian/Asiatic Water Navelwort, (english) = Brahmi (ayur veda/sanskrit?) = Mandukaparni/Mandookaparni (sanskrit? tamil?) = Fo ti tieng (Registered Trademark) (chinese) = Peng Da Wan (chinese) = Tsubokusa (japanese) all different names for one and the same plant. If anyone disagrees or can explain the correlation more specifically, I am interested in knowing.

Untitled Re: Effective cure for Keloid - (R Parikh) Date: 2004, Jan 02 From: <Anonymous>

I have heard of the Centis creme. In fact, I have been using the Da Wan centella from www.thejamsuhop.com. Its quite good, am quite happy as it eliminates the itch and pain. Its also quite cheap, so that I can use it over the long term. thank you.

a cure for keliods Re: Effective cure for Keloid - (R Parikh) Date: 2004, Jan 05 From: mdw

yes lets start by giving GOD THE FATHER AND THE SON THE GOLORY from which all our blessings come my name is mary and i've had keloids from 1973 that i've had to live with some removed some returned some worse than others if there is some less expense way to relieve this pain i suffer cloudly days the most please i beg of you help me in the name of JESUS no more surgery or painful neddles breaking because they can't inject the keliods HELP!!!!!!!!!!...........p.s. a good effective cream PRAISE GOD!

possible keliod cure Re: Effective cure for Keloid - (R Parikh) Date: 2004, Jan 05 From: <likeimeanuh at aol.com>

hi, my skin formed a keloid after i got my nose pierced this past summer. I tried everything from hot salt compresses to physical removal of the keliod, but I could not seem to find a solution. My grandmother prescribed chili pepper oil and almost immediately, the inflammation lessened, the redness began to dissipate, and the keliod began to peel. I have been applying this treatment for more or less a week now-- hopefully these results are not temporary. But it is important to note that everyones skin is different and every skintype responds to different kinds of remedies. I hope this helps someone.

Great keloid homepage Re: Effective cure for Keloid - (R Parikh) Date: 2004, Jan 08 From: Anders

May I recommend http://www.keloid-scars.com/ I believe this site has got a great potential in bringing together keloid information!

Silicone Sheets - Which is best? Re: Effective cure for Keloid - (R Parikh) Date: 2004, Jan 25 From: mirage

After having a c-section, I developed a keloid on the incision scar. My dermatologist recommended that I use silicone sheets on my keloid. Now I'm trying to determine which sheets to use. Has any one used the Gue'rir silicone sheets (www.scarheal.com) or Biodermis Epi-Derm (www.biodermis.com) silicone sheets? If so which one is better? Any help is greatly appreciated!!

problem on where to find silicone sheets Re: Effective cure for Keloid - (R Parikh) Date: 2004, Jan 26 From: conney

hi im conney.., ihave this problem since im a teenager..i already 21 now, i dont know where to buy that silicone sheet for keloid treatment .Can u please tell me where to buy this..im living in the Philippines..Is there a pharmacy in my place that sell that product? please reply me in my email add... thankss...i hope to hear u soon..

keloids Re: Effective cure for Keloid - (R Parikh) Date: 2004, Feb 02 From: <KOUNTRYGRL at YAHOO.COM>

Im having surgery later this month to remove keloids on both ears. Im supposed to wear compression earrings after the surgery but Im having trouble finding some that arent god awful. Help would be greatly appreciated :)

The keloid REALLY hurt my self esteem Re: Effective cure for Keloid - (R Parikh) Date: 2004, Feb 05 From: <Anonymous>

i got one on my elbow and one on amy knee. i'm 15 and i got them 3 years ago. i am afraid to wear t-shirts and i have to wear baggy shorts. i hope someone finds a cure because i am a good person who is emotionally hert by these scars. its hard to walk around school with lumps and it really sucks